Most Relevant Information
Provider Data
| NPI Number: | 1003042623 |
| Provider Name: | KATHLEEN M PACHECO RN, CDE |
| Entity Type: | Individual |
| Taxonomy Code: | 163WD0400X |
| Specialty: | Registered Nurse |
| License Number: | R53439 |
Most Important Dates
| Enumeration Date: | 06/10/2009 |
| Last Updated: | 06/29/2010 |
Provider Practice Location
365 MONTAUK AVE
NEW LONDON
CT
063204700
Practice Location Phone/Fax
| Phone: | 8604444737 |
| Fax: | 8604444775 |
Provider Mailing Location
365 MONTAUK AVE
NEW LONDON
CT
063204700
Provider Mailing Phone/Fax
| Phone: | 8604444737 |
| Fax: | 8604444775 |