Provider Demographics
NPI:1962599001
Name:RAPPERPORT, KATHRYN P (MD)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:P
Last Name:RAPPERPORT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 WALLIS CT
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-5404
Mailing Address - Country:US
Mailing Address - Phone:781-862-7487
Mailing Address - Fax:
Practice Address - Street 1:8 WALLIS CT
Practice Address - Street 2:2ND FLOOR
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-5404
Practice Address - Country:US
Practice Address - Phone:781-862-7487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA786752084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry