Provider Demographics
NPI:1396367595
Name:LE, KARA
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:LE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 DONALD'S WAY STE 102
Mailing Address - Street 2:
Mailing Address - City:E BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02333-1464
Mailing Address - Country:US
Mailing Address - Phone:508-941-7100
Mailing Address - Fax:508-894-0412
Practice Address - Street 1:1 COMPASS WAY STE 102
Practice Address - Street 2:
Practice Address - City:EAST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02333-1464
Practice Address - Country:US
Practice Address - Phone:508-941-7100
Practice Address - Fax:508-894-0412
Is Sole Proprietor?:No
Enumeration Date:2020-05-11
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2328959363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily