Individual
KIMBERLY ANN MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPH, MMS
Contact information
Practice address
300 BIRNIE AVE STE 201, SPRINGFIELD, MA 01107-1121
(413) 785-4666
(413) 846-4756
Mailing address
300 BIRNIE AVE STE 201, SPRINGFIELD, MA 01107-1121
(413) 785-4666
(413) 846-4756
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1313
NH
Other
Enumeration date
10/05/2017
Last updated
10/26/2020
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