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NPI Code Detail

MEDICARE: DR. KATHLEEN K DANN M.D.

MEDICARE: DR. KATHLEEN K DANN M.D.
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
1207Q00000XFamily Medicine Physician54868MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1710700OTHERMAHPHC
2102720OTHERMACIGNA
324212OTHERMAHNE
4054868OTHERMATUFTS
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6J04703OTHERMABLUE CROSS & BLUE SHIELD
7000000008361OTHERMABMC
82345700OTHERMAAETNA
92211723 03OTHERMAUNITED HEALTH CARE
101293472OTHERMAFALLON

General Provider Information

NPI Number : 1285634170
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHLEEN K DANN M.D.
Provider Business Mailing Address
First Line : PO BOX 8019
Second Line : VALLEY MEDICAL GROUP, PC
City : SPRINGFIELD
State : MA
Zip : 01102-8000
Country : US
Telephone Number : 866-431-4077
Fax Number : 413-774-7448
Provider Business Practice Location Address
First Line : 31 HALL DR
Second Line : AMHERST MEDICAL CENTER
City : AMHERST
State : MA
Zip : 01002-2751
Country : US
Telephone Number : 413-256-8561
Fax Number : 413-256-4421
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 06/09/2008

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