Brennan, Kimberly A

Brennan, Kimberly A is an individual health care provider with primary practice located at 133 Ornac Jcb Suite 200, Concord MA 01742-4159. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Brennan, Kimberly A can be contacted via phone (978) 987-3436.

Contact Information

Primary practice address
133 Ornac Jcb Suite 200 Concord MA 01742-4159
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 234375 Massachusetts

Profile Details

NPI number 1487838744
LBN Legal business name Brennan, Kimberly A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2007
Last updated Sep 25th, 2018 - about 6 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 1487838744 NPPES
Massachusetts MEDICAID 110078605A

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