Provider Demographics
NPI:1275681470
Name:KIEHN, KAROLYN B (APRN)
Entity Type:Individual
Prefix:
First Name:KAROLYN
Middle Name:B
Last Name:KIEHN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 NUMBER 9 RD
Mailing Address - Street 2:
Mailing Address - City:ROWE
Mailing Address - State:MA
Mailing Address - Zip Code:01367-9701
Mailing Address - Country:US
Mailing Address - Phone:413-337-8625
Mailing Address - Fax:
Practice Address - Street 1:1 ARCH PL
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-2457
Practice Address - Country:US
Practice Address - Phone:413-774-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-06
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA171553363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDNS0697Medicare ID - Type UnspecifiedMEDICARE