Individual
DR. KIMBERLY TYXINE THURMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
45 DIMOCK ST, ROXBURY, MA 02119-1208
(617) 442-8800
(617) 442-4088
Mailing address
84 ELMER RD, WEYMOUTH, MA 02190-1202
(781) 335-0433
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
2180
MA
213ES0131X
Foot Surgery Podiatrist
Primary
2180
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0362280
—
MA
01
—
480033626
MEDICARE RAILROAD
MA
01
—
Y71094
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/28/2006
Last updated
04/13/2020
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