Corbo, Kathleen Ann

Corbo, Kathleen Ann is an individual health care provider with primary practice located at 75 Mount Auburn St Harvard University Health Services, Cambridge MA 02138-4960. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Corbo, Kathleen Ann can be contacted via phone (617) 495-2001.

Contact Information

Primary practice address
75 Mount Auburn St Harvard University Health Services Cambridge MA 02138-4960
Fax: (617) 496-0530
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 212657 Massachusetts

Profile Details

NPI number 1134170889
LBN Legal business name Corbo, Kathleen Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jan 16th, 2015 - about 9 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 1134170889 NPPES
Massachusetts MEDICAID 347281

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