Willis, Kimberly Y

Willis, Kimberly Y is an sole proprietor health care provider with primary practice located at 51 Performance Dr , Weymouth MA 02189-3104. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Willis, Kimberly Y can be contacted via phone (781) 331-9091.

Contact Information

Primary practice address
51 Performance Dr Weymouth MA 02189-3104
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 232381 Massachusetts

Profile Details

NPI number 1164601514
LBN Legal business name Willis, Kimberly Y
Credentials NP-C, BSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2007
Last updated Nov 1st, 2007 - about 17 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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