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Individual

MR. JOHN K KIMANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 ARIELLE LN, PEABODY, MA 01960-4440
(781) 632-4711
Mailing address
1 ARIELLE LN, PEABODY, MA 01960-4440
(781) 632-4711

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2349132
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
88912368002
TUFTS HEALTH PLAN
MA
Enumeration date
02/03/2022
Last updated
02/20/2022
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