Provider Demographics
NPI:1326575077
Name:TRAYNOR, KATHLEEN (RN MS)
Entity Type:Individual
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First Name:KATHLEEN
Middle Name:
Last Name:TRAYNOR
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Gender:F
Credentials:RN MS
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Mailing Address - Street 1:25 NEW CHARDON STREET
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114
Mailing Address - Country:US
Mailing Address - Phone:617-726-8248
Mailing Address - Fax:617-726-2203
Practice Address - Street 1:25 NEW CHARDON ST
Practice Address - Street 2:SUITE 301
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-4774
Practice Address - Country:US
Practice Address - Phone:617-726-8248
Practice Address - Fax:617-726-2203
Is Sole Proprietor?:No
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MARN147943163WC3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC3500XNursing Service ProvidersRegistered NurseCardiac Rehabilitation