Provider Demographics
NPI:1134493190
Name:WESTHEAD DENNIS, KATHLEEN COLTON (DNP)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:COLTON
Last Name:WESTHEAD DENNIS
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 COLONY RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01106-1214
Mailing Address - Country:US
Mailing Address - Phone:413-734-8157
Mailing Address - Fax:
Practice Address - Street 1:4 HIGH ST
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-2620
Practice Address - Country:US
Practice Address - Phone:978-475-1312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-07
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN152716363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily