Individual
KIMBERLY PHIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1290 TREMONT ST, ROXBURY, MA 02120-3432
(617) 427-1000
Mailing address
6 5TH ST, IPSWICH, MA 01938-2107
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
06/11/2019
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