Doctor Name: | DR. KATHLEEN COLTON WESTHEAD - DENNIS |
NPI Number: | 1134493190 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DNP |
License Number: | RN152716 |
Business Practice Address: | 56 Hopkins Pl Longmeadow, MA - 011061943 |
Business Phone Number: | 4135670907 |
Business Fax Number: | |
Mailing Address: | 30 Colony Rd, SPRINGFIELD |
State: | MA |
Postal Code: | 011061214 |
Phone Number: | 4137348157 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2012 |
NPI Last Update Date: | 07/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN152716 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |