Provider Demographics
NPI:1336838887
Name:LECLAIR, KATHERINE KINNEY
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:KINNEY
Last Name:LECLAIR
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 1:297 BOSTON RD
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-4805
Mailing Address - Country:US
Mailing Address - Phone:978-245-5181
Mailing Address - Fax:
Practice Address - Street 1:297 BOSTON RD
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-4805
Practice Address - Country:US
Practice Address - Phone:978-245-5181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist