Kimball-Wren, Paulette R

Kimball-Wren, Paulette R is an individual health care provider with primary practice located at 10 Winthrop St , Worcester MA 01604-4435. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kimball-Wren, Paulette R can be contacted via phone (508) 753-3120.

Contact Information

Primary practice address
10 Winthrop St Worcester MA 01604-4435
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 224655 Massachusetts

Profile Details

NPI number 1194789644
LBN Legal business name Kimball-Wren, Paulette R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Dec 23rd, 2011 - about 13 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 1194789644 NPPES
Massachusetts Other 468484 TUFTS
Massachusetts Other 7555668 TUFTS
Massachusetts Other 967630 TUFTS
Massachusetts Other AA37548 TUFTS
Massachusetts Other J29116 TUFTS
Massachusetts Other 2000302001 TUFTS
Massachusetts MEDICAID 2105608 TUFTS
Massachusetts Other 96080 TUFTS

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