Chagnon, Kimberly G

Chagnon, Kimberly G is an individual health care provider with primary practice located at 88 E Newton St Robinson 4 Complex, Boston MA 02118-2658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Chagnon, Kimberly G can be contacted via phone (617) 638-8992.

Contact Information

Primary practice address
88 E Newton St Robinson 4 Complex Boston MA 02118-2658
Phone: (617) 638-8992
Fax: (617) 638-8979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN177399 Massachusetts

Profile Details

NPI number 1275509325
LBN Legal business name Chagnon, Kimberly G
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Oct 12th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275509325 NPPES
Massachusetts MEDICAID 110024618A

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