Mithoefer, Kai

Mithoefer, Kai is an individual health care provider with primary practice located at 40 Allied Drive , Ded Ham MA 02026. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Mithoefer, Kai can be contacted via phone (617) 264-1100.

Contact Information

Primary practice address
40 Allied Drive Ded Ham MA 02026
Phone: (617) 264-1100
Fax: (617) 264-1101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 212397 Massachusetts
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 228933-1 New York
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 212397 Massachusetts

Profile Details

NPI number 1275504219
LBN Legal business name Mithoefer, Kai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2006
Last updated Dec 28th, 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 1275504219 NPPES
Massachusetts MEDICAID 0198510

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