Ocallaghan, Kimberly Ann

Ocallaghan, Kimberly Ann is an individual health care provider with primary practice located at 545A Centre St , Jamaica Plain MA 02130-2061. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Ocallaghan, Kimberly Ann can be contacted via phone (617) 477-4929.

Contact Information

Primary practice address
545A Centre St Jamaica Plain MA 02130-2061
Phone: (617) 477-4929
Fax: (617) 522-0903
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 167499 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 167499 Massachusetts

Profile Details

NPI number 1881660561
LBN Legal business name Ocallaghan, Kimberly Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jan 31st, 2013 - about 11 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 1881660561 NPPES
Massachusetts MEDICAID 0321451
Massachusetts Other NP0604
Massachusetts Other 83-01261
Massachusetts Other P00456876

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