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
Phone: (508) 334-0550
Fax: (508) 334-8496
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710969589 | NPPES |
New York | MEDICAID | 03054804 |
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