Individual
KIMBERLY ANNE DEWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2207 BOSTON RD, WILBRAHAM, MA 01095-1155
(413) 599-1201
(413) 596-2940
Mailing address
2207 BOSTON RD, WILBRAHAM, MA 01095-1155
(413) 599-1201
(413) 596-2940
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
220683
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028542
BOSTON MED CENTER HEALTHN
—
01
—
1205530
UNITED HEALTHCARE
—
05
—
2080303
—
MA
01
—
220683
MA LICENSE
—
01
—
34817
HEALTH NEW ENGLAND
—
01
—
7034605
AETNA/USHC
—
01
—
70513
CHILDRENS MEDICAL SECURIT
—
01
—
969421
NETWORK HEALTH
—
01
—
AA16576
HARVARD PILGRIM
—
01
—
J27969
BCBS
—
Enumeration date
09/20/2005
Last updated
03/07/2023
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