Individual
KIMBERLY CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 427-3000
Mailing address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 427-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
197417
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197417
MASS LICENSE
MA
Enumeration date
03/05/2007
Last updated
03/10/2025
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