Thurmond, Kimberly Tyxine

Thurmond, Kimberly Tyxine is an sole proprietor health care provider with primary practice located at 45 Dimock St , Roxbury MA 02119-1208. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is her primary health care specialty. Thurmond, Kimberly Tyxine can be contacted via phone (617) 442-8800.

Contact Information

Primary practice address
45 Dimock St Roxbury MA 02119-1208
Phone: (617) 442-8800
Fax: (617) 442-4088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 2180 Massachusetts
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 2180 Massachusetts

Profile Details

NPI number 1376557942
LBN Legal business name Thurmond, Kimberly Tyxine
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Apr 13th, 2020 - about 4 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 1376557942 NPPES
Massachusetts Other Y71094 BLUE CROSS BLUE SHIELD
Massachusetts MEDICAID 0362280 BLUE CROSS BLUE SHIELD
Massachusetts Other 480033626 BLUE CROSS BLUE SHIELD

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