Tierney, Kim

Tierney, Kim is an individual health care provider with primary practice located at 398 Neponset Ave , Dorchester MA 02122-3134. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Tierney, Kim can be contacted via phone (617) 282-3200.

Contact Information

Primary practice address
398 Neponset Ave Dorchester MA 02122-3134
Phone: (617) 282-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN2263616 Massachusetts

Profile Details

NPI number 1457721656
LBN Legal business name Tierney, Kim
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2015
Last updated Sep 30th, 2015 - about 11 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 1457721656 NPPES
Massachusetts Other M20396 MA MEDICARE

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