Individual
MELANIE A KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNCS
Contact information
Practice address
115 MILL ST, BELMONT, MA 02478-1064
(617) 855-2470
Mailing address
115 MILL ST, BELMONT, MA 02478-1064
(617) 855-2470
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
125053
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN0730
BCBS
MA
Enumeration date
10/19/2006
Last updated
05/06/2008
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