Tremblay, Kim M

Tremblay, Kim M is an individual health care provider with primary practice located at 30 Northampton St , Boston MA 02118-4098. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Tremblay, Kim M can be contacted via phone (617) 433-9601.

Contact Information

Primary practice address
30 Northampton St Boston MA 02118-4098
Phone: (617) 433-9601
Fax: (617) 445-6538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 147292 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 147292 Massachusetts
Nursing Service Providers / Registered Nurse 163W00000X 036506-21 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 147292 Massachusetts

Profile Details

NPI number 1265429229
LBN Legal business name Tremblay, Kim M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jan 24th, 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 1265429229 NPPES
Massachusetts Other NP0790 BCBSMA

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