Kathleen Anne Carr, RN BS

Individual provider Active NPI Pediatric Registered Nurse · Abington, MA

NPI 1487892196 · NPPES record last updated Feb 3, 2009

Key facts

NPI
1487892196
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Registered Nurse 163WP0200X
License
RN109370 (MA)
Practice address
122 Walnut St
Abington, MA 02351-2547
Phone
(617) 851-2103
NPI assigned
Feb 3, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN109370MAMDPediatric Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X RN109370 MA Yes

Addresses

Primary practice location

122 Walnut St
Abington, MA 02351-2547

Mailing address

122 Walnut St
Abington, MA 02351-2547
Phone (617) 851-2103

Other providers in Abington, MA

All providers in Abington, MA · Pediatric Registered Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.