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Contact Information

KAYLEEN A WHITAKER, LPN
511 E COLUMBUS AVE
SPRINGFIELD, MA01105-2506
 Phone: 413-733-3488
 Fax: 413-732-5856
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
 

Licensed Psychiatric Technician

167G00000X
Indicates primary specialty

NPI Profile & details for KAYLEEN A WHITAKER · (Female)

NPI Number 1407430382
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 05/07/2021
Last updated 05/07/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # LN98236
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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