Smith, Mary Kathleen

Smith, Mary Kathleen is an individual health care provider with primary practice located at 780 Albany St , Boston MA 02118-2524. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Mary Kathleen can be contacted via phone (857) 654-1000.

Contact Information

Primary practice address
780 Albany St Boston MA 02118-2524
Phone: (857) 654-1000
Fax: (857) 654-1100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209862 Massachusetts

Profile Details

NPI number 1972507325
LBN Legal business name Smith, Mary Kathleen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jan 8th, 2015 - about 11 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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