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NPI Code Detail

MEDICARE: GEORGIA KACHER STUDENT

MEDICARE: GEORGIA KACHER STUDENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN2355679MA

General Provider Information

NPI Number : 1558211268
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGIA KACHER STUDENT
Provider Business Mailing Address
First Line : 140 COMMONWEALTH AVE
Second Line :
City : CHESTNUT HILL
State : MA
Zip : 02467-3858
Country : US
Telephone Number : 617-552-2756
Fax Number :
Provider Business Practice Location Address
First Line : 140 COMMONWEALTH AVE
Second Line :
City : CHESTNUT HILL
State : MA
Zip : 02467-3858
Country : US
Telephone Number : 617-552-2756
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ GEORGIA KACHER STUDENT” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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