Katherine A Kennedy Mendzel in Brockton - Specialist
Katherine A Kennedy Mendzel - NPI 1518021765
Katherine A Kennedy Mendzel is a Specialist in Brockton, Massachusetts. Katherine A Kennedy Mendzel practices all healthcare services and medical treatments related to Specialist. The NPI Number for Katherine A Kennedy Mendzel is 1518021765. The last update date is 2007-07-08.
Katherine A Kennedy Mendzel's current location address is 801 Pleasant St, Brockton, Massachusetts. You can contact this provider via phone number 5085865977. The mailing address for Katherine A Kennedy Mendzel is 801 Pleasant St, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine A Kennedy Mendzel |
|---|---|
| Address | 801 Pleasant St, Brockton, Massachusetts |
| Phone Number | 5085865977 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1518021765 |
|---|---|
| Provider Enumeration Date | 2006-12-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 801 Pleasant St |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23013052 |
| Phone Number | 5085865977 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 1054 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Katherine A Kennedy Mendzel by the Centers for Medicare & Medicaid Services?
The Katherine A Kennedy Mendzel has been issued the NPI (National Provider Identifier) 1518021765, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Katherine A Kennedy Mendzel is physically located?
The Katherine A Kennedy Mendzel is situated at the following address: 801 Pleasant St, Brockton, MA 23013052.
What is Katherine A Kennedy Mendzel's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Katherine A Kennedy Mendzel is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Katherine A Kennedy Mendzel receive the assignment of its 1518021765 from the Centers for Medicare & Medicaid Services?
The Katherine A Kennedy Mendzel was issued its 1518021765 by the Centers for Medicare & Medicaid Services on 2006-12-21.
As of what date were the details related to Katherine A Kennedy Mendzel most recently updated or revised?
The information pertaining to Katherine A Kennedy Mendzel, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.