Bird, Katelyn C. K.

Bird, Katelyn C. K. is an individual health care provider with primary practice located at 725 Albany St, Suite 7B Shapiro Bldg, Boston MA 02118-3549. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Bird, Katelyn C. K. can be contacted via phone (617) 638-8456.

Contact Information

Primary practice address
725 Albany St, Suite 7B Shapiro Bldg Boston MA 02118-3549
Phone: (617) 638-8456
Fax: (617) 638-8465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 278842 Massachusetts

Profile Details

NPI number 1912391491
LBN Legal business name Bird, Katelyn C. K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2015
Last updated Apr 2nd, 2024 - about 7 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 1912391491 NPPES
New Hampshire MEDICAID 3124371
New Hampshire MEDICAID 110107741A

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