Individual
KIMBERLY BAYLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PNP
Contact information
Practice address
25 BOYLSTON ST, SUITE 112, CHESTNUT HILL, MA 02467-1715
(617) 244-6000
Mailing address
29 BOGANDALE RD, WEST ROXBURY, MA 02132-4025
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN270430
MA
Other
Enumeration date
05/24/2011
Last updated
08/26/2013
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