Kinaka, Kimberly H.

Kinaka, Kimberly H. is an individual health care provider with primary practice located at 103 Garland St , Everett MA 02149-5066. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kinaka, Kimberly H. can be contacted via phone (617) 381-5061.

Contact Information

Primary practice address
103 Garland St Everett MA 02149-5066
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A77119 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 234547 Massachusetts

Profile Details

NPI number 1275604241
LBN Legal business name Kinaka, Kimberly H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Feb 2nd, 2012 - about 14 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 1275604241 NPPES
California MEDICAID 00A771190

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