Atwood, Kimball C

Atwood, Kimball C is an individual health care provider with primary practice located at 2014 Washington St Dept Of Anesthesia, Newton MA 02462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Atwood, Kimball C can be contacted via phone (617) 243-6298.

Contact Information

Primary practice address
2014 Washington St Dept Of Anesthesia Newton MA 02462
Fax: (617) 243-6184
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 47842 Massachusetts

Profile Details

NPI number 1861423345
LBN Legal business name Atwood, Kimball C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jun 16th, 2016 - about 8 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 1861423345 NPPES
Massachusetts MEDICAID 3010121

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