Individual
KIMBERLY ANN WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
TUFTS MEDICAL CENTER, 860 WASHINGTON ST, BOSTON, MA 02111-1521
(617) 636-9972
Mailing address
TUFTS MEDICAL CENTER, 860 WASHINGTON ST, BOSTON, MA 02111
(617) 636-9972
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN211764
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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