Dewey, Kimberly Anne

Dewey, Kimberly Anne is an individual health care provider with primary practice located at 2207 Boston Rd , Wilbraham MA 01095-1155. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Dewey, Kimberly Anne can be contacted via phone (413) 599-1201.

Contact Information

Primary practice address
2207 Boston Rd Wilbraham MA 01095-1155
Phone: (413) 599-1201
Fax: (413) 596-2940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 220683 Massachusetts

Profile Details

NPI number 1063408581
LBN Legal business name Dewey, Kimberly Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Mar 7th, 2023 - about 2 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 1063408581 NPPES
Other 220683 MA LICENSE
MEDICAID 2080303 MA LICENSE
Other 7034605 MA LICENSE
Other 220683 MA LICENSE
Other AA16576 MA LICENSE
Other 000000028542 MA LICENSE
Other 1205530 MA LICENSE
Other 70513 MA LICENSE
Other 969421 MA LICENSE
Other J27969 MA LICENSE
Other 34817 MA LICENSE

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