Individual provider · Type 1 NPI

Kathleen Marie Inman Fuentes, MD

Student in an Organized Health Care Education/Training Program · Burlington, MA

NPI number 1275100091 Active

Practice location

41 Mall Rd
Burlington, MA 01805-0001

Mailing address

63 Upland Rd # 1
Cambridge, MA 02140-2722

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X288807 (MA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1275100091

Kathleen Marie Inman Fuentes, MD's National Provider Identifier is 1275100091, issued on Jun 9, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Burlington, MA. The record was last updated on Jun 9, 2021.