Shea, Kathleen M.

Shea, Kathleen M. is an individual health care provider with primary practice located at 1221 Main St , South Weymouth MA 02190-1561. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shea, Kathleen M. can be contacted via phone (781) 340-1702.

Contact Information

Primary practice address
1221 Main St South Weymouth MA 02190-1561
Phone: (781) 340-1702
Fax: (781) 340-0931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 105978 Massachusetts

Profile Details

NPI number 1518944537
LBN Legal business name Shea, Kathleen M.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Oct 22nd, 2007 - about 18 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 1518944537 NPPES
Massachusetts Other NP2743 BLUE CROSS BLUE SHIELD

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