Individual
KIMBERLY H. KINAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
103 GARLAND ST, EVERETT, MA 02149-5066
(617) 381-5061
Mailing address
103 GARLAND ST, EVERETT, MA 02149-5066
(617) 381-5061
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
234547
MA
207R00000X
Internal Medicine Physician
A77119
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A771190
—
CA
Enumeration date
11/13/2006
Last updated
02/02/2012
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