Proulx, Kathryn A

Proulx, Kathryn A is an individual health care provider with primary practice located at 1049 Main St , Springfield MA 01103-2114. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Proulx, Kathryn A can be contacted via phone (413) 739-1100.

Contact Information

Primary practice address
1049 Main St Springfield MA 01103-2114
Phone: (413) 739-1100
Fax: (413) 304-4666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 127180 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 001162 Connecticut

Profile Details

NPI number 1376621615
LBN Legal business name Proulx, Kathryn A
Credentials CNP, PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Dec 16th, 2016 - 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 1376621615 NPPES
Massachusetts MEDICAID 110028120

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