Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 250771 | MA |
NPI | 1013147529 |
---|---|
Provider Name | Katherine Helen Michener |
First Address | Woburn, MA 01801-7906 |
Second Address | Woburn, MA 01801-7906 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2009 |
Last Update Date | 20/08/2019 |