Individual
ANN M KINGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
235 NORTH PEARL ST, BROCKTON, MA 02301
(508) 427-3034
Mailing address
944 WASHINGTON ST, # 1, SOUTH EASTON, MA 02375-1177
(508) 238-8646
(508) 230-9772
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
172615
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0369161
—
MA
Enumeration date
05/24/2006
Last updated
09/11/2012
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