Kathleen H Mahoney, NP
Nurse Practitioner in Burlington, MA. Individual provider (NPI-1).
NPI number1700935483
StatusActive
Last updated in NPPESJun 10, 2020
Details
- NPI
- 1700935483
- Entity type
- Individual (NPI-1)
- Name
- Kathleen H Mahoney
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2007
- Certification date
- Jun 10, 2020
- Last updated
- Jun 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN158310 | MA | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | 158310 | MA |
Practice location
41 Mall Rd.Lahey Clinic
Burlington, MA 01805-0001
Phone 781-744-7000 · Fax 781-744-5348
Mailing address
41 Mall Rd.Lahey Clinic
Burlington, MA 01805-0001
Phone 781-879-3554 · Fax 781-744-5378
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