Provider Demographics
NPI:1033308291
Name:THURMOND, KATHLEEN F (MD)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:F
Last Name:THURMOND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 THORNDIKE ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-2406
Mailing Address - Country:US
Mailing Address - Phone:617-277-9753
Mailing Address - Fax:
Practice Address - Street 1:12 THORNDIKE ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-2406
Practice Address - Country:US
Practice Address - Phone:617-277-9753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA48722207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology