Healthcare Provider Details

I. General information

NPI: 1811248701
Provider Name (Legal Business Name): KATHRYN TOWNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2012
Last Update Date: 10/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 ROUTE 134 UNIT 3
SOUTH DENNIS MA
02660-3739
US

IV. Provider business mailing address

24 ROUTE 134
SOUTH DENNIS MA
02660-3739
US

V. Phone/Fax

Practice location:
  • Phone: 508-394-4847
  • Fax: 508-394-3638
Mailing address:
  • Phone: 508-394-4847
  • Fax: 508-394-3638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: