Provider Demographics
NPI:1609404706
Name:PAJER, KAITLYN ROSE
Entity Type:Individual
Prefix:
First Name:KAITLYN
Middle Name:ROSE
Last Name:PAJER
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 1:20 OAK BLUFF LN
Mailing Address - Street 2:
Mailing Address - City:LEICESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01524-2209
Mailing Address - Country:US
Mailing Address - Phone:774-415-6947
Mailing Address - Fax:
Practice Address - Street 1:20 OAK BLUFF LN
Practice Address - Street 2:
Practice Address - City:LEICESTER
Practice Address - State:MA
Practice Address - Zip Code:01524-2209
Practice Address - Country:US
Practice Address - Phone:774-415-6947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-01
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program