Kingman, Ann M

Kingman, Ann M is an individual health care provider with primary practice located at 235 North Pearl St , Brockton MA 02301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kingman, Ann M can be contacted via phone (508) 427-3034.

Contact Information

Primary practice address
235 North Pearl St Brockton MA 02301
Phone: (508) 427-3034
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 172615 Massachusetts

Profile Details

NPI number 1861447930
LBN Legal business name Kingman, Ann M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Sep 11th, 2012 - about 12 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 1861447930 NPPES
Massachusetts MEDICAID 0369161

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