Individual
MR. SAMUEL M KIMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP-BC
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-5245
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
264101
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN264101
MA
Other
Enumeration date
11/16/2006
Last updated
02/23/2026
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