Provider Demographics
NPI:1568680486
Name:CAREY, KATHLEEN ANN (MS,RN,CS)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:ANN
Last Name:CAREY
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Gender:F
Credentials:MS,RN,CS
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Other - First Name:
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Mailing Address - Street 1:691 MASSACHUSETTS AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-4905
Mailing Address - Country:US
Mailing Address - Phone:781-641-1500
Mailing Address - Fax:617-503-1060
Practice Address - Street 1:691 MASSACHUSETTS AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-4905
Practice Address - Country:US
Practice Address - Phone:781-641-1500
Practice Address - Fax:617-503-1060
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1633837364SP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent