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NPI Code Detail

MEDICARE: MISS KATHERINE MARY RICE PA-C

MEDICARE:  MISS KATHERINE MARY RICE  PA-C
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
1363A00000XPhysician AssistantPA7979MA

General Provider Information

NPI Number : 1871114199
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KATHERINE MARY RICE PA-C
Provider Business Mailing Address
First Line : 38 DEER RUN
Second Line :
City : BELCHERTOWN
State : MA
Zip : 01007-9498
Country : US
Telephone Number : 413-636-8951
Fax Number :
Provider Business Practice Location Address
First Line : 15 VREELAND AVE
Second Line :
City : EAST LONGMEADOW
State : MA
Zip : 01028-1631
Country : US
Telephone Number : 413-787-2555
Fax Number : 413-787-9992
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2020
Last Update Date : 07/20/2022

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Directions to “ MISS KATHERINE MARY RICE PA-C” Practice Location

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