MEDICARE: KATHLEEN CHOR NP

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
1	363LF0000X	Family Nurse Practitioner	F06260137	MA

General Provider Information

NPI Number	:	1275466195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN CHOR NP

Provider Business Mailing Address
First Line	:	17 FLORENCE ST APT 273
Second Line	:
City	:	MALDEN
State	:	MA
Zip	:	02148-3982
Country	:	US
Telephone Number	:	585-747-0486
Fax Number	:

Provider Business Practice Location Address
First Line	:	179 LONGWOOD AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02115-5804
Country	:	US
Telephone Number	:	617-732-2850
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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