Individual
KIMBERLY MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3550 MAIN ST, SUITE 101, SPRINGFIELD, MA 01107-1089
(413) 739-0669
(413) 739-0621
Mailing address
3550 MAIN ST, SUITE 101, SPRINGFIELD, MA 01107-1089
(413) 739-0669
(413) 739-0621
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1921
MA
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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