Individual
KIMBERLY HARTER MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
295 VARNUM AVE, LOWELL, MA 01854-2134
(781) 937-4545
Mailing address
PO BOX 3497, BOSTON, MA 02241-3497
(781) 937-4545
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
232494
MA
207P00000X
Emergency Medicine Physician
C7-0002976
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2144450
—
MA
01
—
J42530
BLUE SHIELD
MA
Enumeration date
03/02/2007
Last updated
11/10/2015
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