Kimball, William Russell
Kimball, William Russell is an individual health care provider with primary practice located at 55 Fruit St Cln 3, Boston MA 02114-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kimball, William Russell can be contacted via phone (617) 726-3030.Contact Information
Primary practice address
55 Fruit St Cln 3
Boston MA 02114-2621
Phone: (617) 726-3030
Fax: (617) 726-7536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 44496 | Massachusetts |
Profile Details
| NPI number | 1942290515 |
|---|---|
| LBN Legal business name | Kimball, William Russell |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942290515 | NPPES |
| Massachusetts | Other | 044496 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 2096463 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J02406 | TUFTS HEALTH PLAN |
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