Individual
MEAGAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1600 PROVIDENCE HWY, WALPOLE, MA 02081-2553
(508) 660-7949
Mailing address
1600 PROVIDENCE HWY, WALPOLE, MA 02081-2553
(508) 660-7994
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2319970
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
07/28/2020
Last updated
03/25/2022
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