Provider Demographics
NPI:1609218924
Name:SAEGH, KILEY KATHARINE (CNP)
Entity Type:Individual
Prefix:MRS
First Name:KILEY
Middle Name:KATHARINE
Last Name:SAEGH
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MRS
Other - First Name:KILEY
Other - Middle Name:KATHARINE
Other - Last Name:SAEGH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNP
Mailing Address - Street 1:33 LESLIE LN
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02324-2257
Mailing Address - Country:US
Mailing Address - Phone:617-962-5559
Mailing Address - Fax:
Practice Address - Street 1:STONEHILL COLLEGE HEALTH SERVICES 320 WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02357
Practice Address - Country:US
Practice Address - Phone:508-565-1307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-28
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAF071333363LF0000X
MARN2259955363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily