Individual
MRS. KIMBERLY Y WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C, BSN
Contact information
Practice address
51 PERFORMANCE DR, WEYMOUTH, MA 02189-3104
(781) 331-9091
Mailing address
51 PERFORMANCE DR, WEYMOUTH, MA 02189-3104
(781) 331-9091
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
232381
MA
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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