Individual
DR. PAULETTE R KIMBALL-WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 WINTHROP ST, WORCESTER, MA 01604-4435
(508) 753-3120
Mailing address
22 QUAIL RUN, HOLDEN, MA 01520-3705
(508) 829-3076
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
224655
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000302001
CIGNA
MA
05
—
2105608
—
MA
01
—
468484
TUFTS
MA
01
—
7555668
AETNA
MA
01
—
96080
FALLON
MA
01
—
967630
NETWORK HEALTH
MA
01
—
AA37548
HARVARD PILGRIM
MA
01
—
J29116
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
04/13/2006
Last updated
12/23/2011
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