KATHLEEN WALLACE NP
NPI 1508010638
Nurse Practitioner - Family in Boston, MA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since November 17, 2008

300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-8117 Get Directions Write a Review

NPPES record last updated: November 17, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kathleen Wallace Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN WALLACE NP (NPI 1508010638) is an individual family provider in Boston, Massachusetts, licensed in Massachusetts (258192) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1508010638

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATHLEEN WALLACECredential: NP

Location Address300 LONGWOOD AVEBoston, MA 02115-5724

Mailing Address244 Bunker Hill StreetCharlestown, MA 02129 · (617) 512-5297

Phone(617) 355-8117

Sole ProprietorNo

Enumeration DateNovember 17, 2008

✔ NPI 1508010638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MA · 258192

300 LONGWOOD AVE, Boston, MA 02115

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Other Providers at the Same Location

The following 20 providers are registered at the same or a nearby location.

MRS. KIRA A DIES SCM

Genetic Counselor, MS

300 LONGWOOD AVE, CLS 14074
BOSTON, MA 02115

Suffolk County (617) 919-3009

MS. JESSIE REBECCA HASTINGS M.S.

Genetic Counselor, MS

300 LONGWOOD AVE, DEPARTMENT OF CARDIOLOGY
BOSTON, MA 02115

Suffolk County (617) 355-7245

DR. PETER H WEINSTOCK MD PHD

Pediatrics (Pediatric Critical Care Medicine)

300 LONGWOOD AVE, DIVISION OF CRITICAL CARE MEDICINE
BOSTON, MA 02115

Suffolk County (617) 355-7327

DR. HENRY LAWRENCE DORKIN MD

Pediatrics (Pediatric Pulmonology)

300 LONGWOOD AVE, HUNNEWELL 2
BOSTON, MA 02115

Suffolk County (617) 355-1900

DR. JOAN MARILYN STOLER MD

Medical Genetics (Clinical Genetics (M.D.))

300 LONGWOOD AVE, CHILDREN'S HOSPITAL
BOSTON, MA 02115

Suffolk County (617) 355-4697

DR. BONNIE L PADWA DMD, MD

Oral & Maxillofacial Surgery

300 LONGWOOD AVE, HU-158
BOSTON, MA 02115

Suffolk County (617) 355-6259

DR. HARVEY LOUIS LEVY MD

Medical Genetics (Clinical Biochemical Genetics)