Kathleen Wallace, NP is a family nurse practitioner in Boston, MA. Kathleen Wallace, NP NPI is 1508010638. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
300 LONGWOOD AVE
BOSTON, MA
ZIP 02115-724
Phone: (617) 355-8117
The NPI 1508010638 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/17/2008 and was last updated on 11/17/2008.