| Doctor Name: | KATHLEEN P SELFE |
| NPI Number: | 1104883420 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 155375A |
| Business Practice Address: | 23 Acadia Rd West Yarmouth, MA - 026734850 |
| Business Phone Number: | 5087710620 |
| Business Fax Number: | |
| Mailing Address: | New England Geriatrics, 1132 Westfield Street WEST SPRINGFIELD |
| State: | MA |
| Postal Code: | 01089 |
| Phone Number: | 4134390090 |
| Fax Number: | 4134390096 |
| NPI Enumeration Date: | 04/28/2006 |
| NPI Last Update Date: | 02/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 155375A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |