Dermady, Kathleen M.

Dermady, Kathleen M. is an individual health care provider with primary practice located at 119 Belmont St , Worcester MA 01605-2903. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Dermady, Kathleen M. can be contacted via phone (508) 334-0550.

Contact Information

Primary practice address
119 Belmont St Worcester MA 01605-2903
Fax: (508) 334-8496
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN133233 Massachusetts

Profile Details

NPI number 1710969589
LBN Legal business name Dermady, Kathleen M.
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jan 19th, 2022 - about 2 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 1710969589 NPPES
New York MEDICAID 03054804

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