Connolly, Kathleen

Connolly, Kathleen is an individual health care provider with primary practice located at 133 Brookline Ave , Boston MA 02215-3904. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Connolly, Kathleen can be contacted via phone (617) 421-1000.

Contact Information

Primary practice address
133 Brookline Ave Boston MA 02215-3904
Phone: (617) 421-1000
Fax: (617) 421-6084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 152188 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 152188 Massachusetts

Profile Details

NPI number 1043284417
LBN Legal business name Connolly, Kathleen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated May 2nd, 2014 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043284417 NPPES
Massachusetts Other AA34079 HARVARD PILGRIM
Massachusetts MEDICAID 0704369 HARVARD PILGRIM
Massachusetts Other NP9605 HARVARD PILGRIM

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