Absalom, Kathleen Dolores

Absalom, Kathleen Dolores is an sole proprietor health care provider with primary practice located at 600 Primrose St Ste 202 , Haverhill MA 01830-2659. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Absalom, Kathleen Dolores can be contacted via phone (978) 556-0100.

Contact Information

Primary practice address
600 Primrose St Ste 202 Haverhill MA 01830-2659
Phone: (978) 556-0100
Fax: (785) 560-1019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 274443 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN274443 Massachusetts

Profile Details

NPI number 1841303963
LBN Legal business name Absalom, Kathleen Dolores
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Apr 12th, 2024 - about 8 months 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

StateTypeNumberIssuer
All States NPI 1841303963 NPPES
Delaware MEDICAID 1000039976

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