Mitchell, Kathleen F
Mitchell, Kathleen F is an individual health care provider with primary practice located at 485 Arsenal St , Watertown MA 02472-5091. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mitchell, Kathleen F can be contacted via phone (617) 972-5100.Contact Information
Primary practice address
485 Arsenal St
Watertown MA 02472-5091
Phone: (617) 972-5100
Fax: (671) 972-5439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 58561 | Massachusetts |
Profile Details
| NPI number | 1164402269 |
|---|---|
| LBN Legal business name | Mitchell, Kathleen F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1164402269 | NPPES |
| Massachusetts | Other | 058561 | TUFTS |
| Massachusetts | Other | 0015140 | TUFTS |
| Massachusetts | MEDICAID | 3190633 | TUFTS |
| Massachusetts | Other | PP287 | TUFTS |
| Massachusetts | Other | J06691 | TUFTS |
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