Individual
KIM A CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
162 CORDAVILLE RD, SOUTHBOROUGH, MA 01772-1838
(508) 229-8811
Mailing address
67 UNION ST FL 2, CHILD DEVELOPMENT UNIT, NATICK, MA 01760-6089
(508) 650-7733
(508) 650-7807
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN155278
MA
Other
Enumeration date
10/28/2016
Last updated
02/04/2020
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