Doctor Name: | KATHLEEN MCSHANE |
NPI Number: | 1396145629 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 073.0087973 |
Business Practice Address: | 291 Bentley Ave Poultney, VT - 057641177 |
Business Phone Number: | 8023428065 |
Business Fax Number: | |
Mailing Address: | 291 Bentley Ave, POULTNEY |
State: | VT |
Postal Code: | 057641177 |
Phone Number: | 8023428065 |
Fax Number: | |
NPI Enumeration Date: | 08/22/2014 |
NPI Last Update Date: | 08/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | 073.0087973 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VT |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |