Kimberli A Omalley in Boston - Pediatrics

Kimberli A Omalley - NPI 1245221464

Kimberli A Omalley is a Pediatrics in Boston, Massachusetts. Kimberli A Omalley practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kimberli A Omalley is 1245221464. The last update date is 2009-10-06.

Kimberli A Omalley's current location address is 300 Longwood Ave, Boston, Massachusetts. You can contact this provider via phone number 6173556058 and fax number 6177300495. The mailing address for Kimberli A Omalley is 300 Longwood Ave, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberli A Omalley
Address 300 Longwood Ave, Boston, Massachusetts
Phone Number 6173556058
Fax Number 6177300495
Sole Proprietor N
Credentials PNP

NPI Number Detail

NPI Number 1245221464
Provider Enumeration Date 2005-11-04
Last Updated Date 2009-10-06

Provider Mailing Address Detail

Address 300 Longwood Ave
City Boston
State Massachusetts (MA)
Post Code 21155724
Phone Number 6173556058
Fax Number 6177300495

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 236043
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
NP9723 MA BCBS
321851 MA --

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FAQs about Kimberli A Omalley

What is the unique 10-digit identification code issued to Kimberli A Omalley by the Centers for Medicare & Medicaid Services?

The Kimberli A Omalley has been assigned the NPI (National Provider Identifier) 1245221464 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Kimberli A Omalley is physically located?

The Kimberli A Omalley is situated at the following address: 300 Longwood Ave, Boston, MA 21155724.

What is Kimberli A Omalley's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kimberli A Omalley is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 363Lp0200X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1245221464 to Kimberli A Omalley?

The Centers for Medicare & Medicaid Services originally issued the 1245221464 to Kimberli A Omalley on 2005-11-04.

As of what date were the Kimberli A Omalley's details last updated?

The information pertaining to the Kimberli A Omalley, including its address, specialty, and other details, was most recently updated on 2009-10-06.

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