Miura, Katherine Kimi
Miura, Katherine Kimi is an individual health care provider with primary practice located at 100 Cummings Ctr Suite 423-G, Beverly MA 01915-6115. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Miura, Katherine Kimi can be contacted via phone (978) 594-1662.Contact Information
Primary practice address
100 Cummings Ctr Suite 423-G
Beverly MA 01915-6115
Phone: (978) 594-1662
Fax: (978) 336-5887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 81163 | Massachusetts |
Profile Details
| NPI number | 1801853007 |
|---|---|
| LBN Legal business name | Miura, Katherine Kimi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Feb 10th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801853007 | NPPES |
| Massachusetts | Other | 1457642894 | NPI TYPE 2 |
| Massachusetts | Other | 1801853007 | NPI TYPE 2 |
| Massachusetts | MEDICAID | 3156486 | NPI TYPE 2 |
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