Individual
KIMBERLY G CHAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
88 E NEWTON ST, ROBINSON 4 COMPLEX, BOSTON, MA 02118-2658
(617) 638-8992
(617) 638-8979
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN177399
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110024618A
—
MA
Enumeration date
02/28/2006
Last updated
10/12/2017
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