Kathleen Connolly
Nurse Practitioner Nurse Practitioner - Pediatrics
133 Brookline Ave
Boston
, Massachusetts 02215-3904
Kathleen Connolly
Nurse Practitioner Nurse Practitioner - Pediatrics
133 Brookline Ave
Boston
, Massachusetts 02215-3904
(617) 421-3487
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Kathleen Connolly
- 147 Milk St Provider Enrolllment - 9th Floor
- Boston, MA
- Zip : 02109-4806
- Fax : (617) 421-3487
- Phone : (617) 559-8053
Second Address
- Kathleen Connolly
- 133 Brookline Ave
- Boston, MA
- Zip : 02215-3904
- Fax : (617) 421-6084
- Phone : (617) 421-1000
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FAQs
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What type of doctor is Kathleen Connolly
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What is Kathleen Connolly ’s gender?
Is Kathleen Connolly a sole practitioner?
Is Kathleen Connolly accepting new patients?
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Does Kathleen Connolly accept insurance?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 152188 | MA |
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 152188 | MA |
National Provider Identifier
| NPI | 1043284417 |
|---|---|
| Provider Name | Kathleen Connolly |
| First Address | Boston, MA 02109-4806 |
| Second Address | Boston, MA 02215-3904 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/02/2006 |
| Last Update Date | 02/05/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0704369 | (05) | MA |
| AA34079 | HARVARD PILGRIM (01) | MA |
| NP9605 | BLUE CROSS (01) | MA |
| Q45608 | (02) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.