Individual
DR. KARA ANNE CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 ESSEX CENTER DR, NEUROLOGY DEPT, PEABODY, MA 01960-2902
(978) 977-4110
(978) 977-4149
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 421-6540
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
222333
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110082873A
—
MA
Enumeration date
04/16/2007
Last updated
07/22/2011
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