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Kathleen Amber Smith, MED
Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts
NPI 1528290608

Kathleen Amber Smith is a Student in an Organized Health Care Education/Training Program based in Wayland, MA. Kathleen Amber Smith practices in Brockton, MA and has the professional credentials of MED. The NPI Number for Kathleen Amber Smith is 1528290608 and holds a License No. 409591 (Massachusetts).

The current practice location address for Kathleen Amber Smith is 37 Belmont St, Brockton, MA and can be reached out via phone at 508-580-4691.

Location: 37 Belmont St, Brockton, MA, 01778-5107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528290608
Provider Name
Kathleen Amber Smith
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
37 Belmont St, Brockton, MA, 01778-5107
Phone Number
508-580-4691
Fax Number
Provider Enumeration Date
08/21/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
37 Belmont St
City
Brockton
State
Massachusetts
Zip
02301-5299
Phone Number
508-580-4691
Fax Number
person
Provider Business Mailing Address Details
Address
37 Belmont St
City
Brockton
State
Massachusetts
Zip
02301-5299
Phone Number
508-580-4691
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
409591 (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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