Provider Demographics
NPI:1184125197
Name:FRENETTE, KASIA ANNE (MPH)
Entity type:Individual
Prefix:MRS
First Name:KASIA
Middle Name:ANNE
Last Name:FRENETTE
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:MISS
Other - First Name:KASIA
Other - Middle Name:ANNE
Other - Last Name:OLECHNICKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 S WHITE PINE LN
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02048-2044
Mailing Address - Country:US
Mailing Address - Phone:774-719-2735
Mailing Address - Fax:
Practice Address - Street 1:40 BALCOM ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:MA
Practice Address - Zip Code:02048-2009
Practice Address - Country:US
Practice Address - Phone:508-339-3066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-25
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No172V00000XOther Service ProvidersCommunity Health Worker