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NPI Code Detail

MEDICARE: KATHLEEN SPRING LPN

MEDICARE:   KATHLEEN  SPRING  LPN
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
1164W00000XLicensed Practical NurseLN91050MA

General Provider Information

NPI Number : 1740678267
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN SPRING LPN
Provider Business Mailing Address
First Line : 40 RICHFIELD ST
Second Line :
City : QUINCY
State : MA
Zip : 02171-1312
Country : US
Telephone Number : 617-816-7654
Fax Number :
Provider Business Practice Location Address
First Line : 40 RICHFIELD ST
Second Line :
City : QUINCY
State : MA
Zip : 02171-1312
Country : US
Telephone Number : 617-816-7654
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2015
Last Update Date : 01/06/2015

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Directions to “ KATHLEEN SPRING LPN” Practice Location

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