Mahoney, Kathleen A

Mahoney, Kathleen A is an individual health care provider with primary practice located at 2 Medical Center Dr Suite 206, Springfield MA 01107-1270. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Mahoney, Kathleen A can be contacted via phone (413) 794-8484.

Contact Information

Primary practice address

2 Medical Center Dr Suite 206 Springfield MA 01107-1270

Phone: (413) 794-8484

Fax: (413) 794-8477

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Gynecology	207VG0400X	60136	Massachusetts

Profile Details

NPI number	1174586952
LBN Legal business name	Mahoney, Kathleen A
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Apr 11th, 2006
Last updated	Jan 14th, 2008 - about 18 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1174586952	NPPES
Massachusetts	MEDICAID	3194621

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