Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 14631 | MA |
Y | 213EG0000X | General Practice | 14631 | MA |
NPI | 1003803396 |
---|---|
Provider Name | Francis L. Kach |
First Address | Dudley, MA 01571-5705 |
Second Address | Auburn, MA 01501-2342 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2005 |
Last Update Date | 08/07/2007 |