Mccully, Kilmer S

Mccully, Kilmer S is an individual health care provider with primary practice located at 1400 Vfw Pkwy , West Roxbury MA 02132-4927. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Mccully, Kilmer S can be contacted via phone (857) 203-5990.

Contact Information

Primary practice address
1400 Vfw Pkwy West Roxbury MA 02132-4927
Phone: (857) 203-5990
Fax: (857) 203-5623
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 29056 Massachusetts
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 29056 Massachusetts

Profile Details

NPI number 1003925678
LBN Legal business name Mccully, Kilmer S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 5th, 2012 - 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 1003925678 NPPES
Nebraska Other 12/23/33 DATE OF BIRTH

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