| Doctor Name: | KATHLEEN M PACHECO |
| NPI Number: | 1003042623 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CDE |
| License Number: | R53439 |
| Business Practice Address: | 365 Montauk Ave New London, CT - 063204700 |
| Business Phone Number: | 8604444737 |
| Business Fax Number: | 8604444775 |
| Mailing Address: | 365 Montauk Ave, NEW LONDON |
| State: | CT |
| Postal Code: | 063204700 |
| Phone Number: | 8604444737 |
| Fax Number: | 8604444775 |
| NPI Enumeration Date: | 06/10/2009 |
| NPI Last Update Date: | 06/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | R53439 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |