Individual
KIMBERLY ANN LUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
795 MIDDLE ST, FALL RIVER, MA 02721-1733
(508) 674-5600
Mailing address
74 PAWTUXET TER, WEST WARWICK, RI 02893-5238
(401) 626-1956
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN45277
RI
367500000X
Certified Registered Nurse Anesthetist
Primary
2321346
MA
367500000X
Certified Registered Nurse Anesthetist
APRN03955
RI
Other
Enumeration date
01/27/2021
Last updated
01/15/2026
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