Houde, Kim D

Houde, Kim D is an individual health care provider with primary practice located at 175 Connors St , Gardner MA 01440-2637. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Houde, Kim D can be contacted via phone (978) 410-6100.

Contact Information

Primary practice address
175 Connors St Gardner MA 01440-2637
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 74555 Massachusetts

Profile Details

NPI number 1154302966
LBN Legal business name Houde, Kim D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated May 29th, 2008 - about 16 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 1154302966 NPPES
Massachusetts MEDICAID 1320815
Massachusetts Other M18970
Massachusetts Other 221868

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