Wall, Kimberly Ann

Wall, Kimberly Ann is an individual health care provider with primary practice located at 585 Lebanon St Ste 401 , Melrose MA 02176-3225. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Wall, Kimberly Ann can be contacted via phone (781) 979-6222.

Contact Information

Primary practice address
585 Lebanon St Ste 401 Melrose MA 02176-3225
Phone: (781) 979-6222
Fax: (781) 979-3421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN211764 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN211764 Massachusetts

Profile Details

NPI number 1689310849
LBN Legal business name Wall, Kimberly Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2022
Last updated Sep 16th, 2026 - about 2 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.

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