Individual
KIMBERLY ALLEN KERRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
175 FOREST ST, WALTHAM, MA 02452-4713
(781) 891-2222
Mailing address
175 FOREST ST, WALTHAM, MA 02452-4713
(781) 891-2222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2311625
MA
363LF0000X
Family Nurse Practitioner
392220
CA
Other
Enumeration date
02/07/2007
Last updated
04/02/2019
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