Walecka, Kim Ellen

Walecka, Kim Ellen is an sole proprietor health care provider with primary practice located at 228 Old Westport Rd , Dartmouth MA 02747-2353. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Walecka, Kim Ellen can be contacted via phone (774) 202-5729.

Contact Information

Primary practice address
228 Old Westport Rd Dartmouth MA 02747-2353
Phone: (774) 202-5729
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 216893 Massachusetts

Profile Details

NPI number 1053397414
LBN Legal business name Walecka, Kim Ellen
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2005
Last updated Oct 12th, 2011 - 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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