Callahan, Kimberly

Callahan, Kimberly is an individual health care provider with primary practice located at 235 N Pearl St , Brockton MA 02301-1794. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Callahan, Kimberly can be contacted via phone (508) 427-3000.

Contact Information

Primary practice address
235 N Pearl St Brockton MA 02301-1794
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 197417 Massachusetts

Profile Details

NPI number 1427187442
LBN Legal business name Callahan, Kimberly
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Oct 19th, 2011 - about 14 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 1427187442 NPPES
Massachusetts Other 197417 MASS LICENSE

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