Individual
KIMBERLY L VETAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
255 E OLD STURBRIDGE RD, BRIMFIELD, MA 01010-9647
(413) 245-3389
(413) 245-4553
Mailing address
255 E OLD STURBRIDGE RD, BRIMFIELD, MA 01010-9647
(413) 245-0966
(413) 245-4553
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
195415
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0379191
—
MA
01
—
NP3934
BCBS
MD
Enumeration date
07/02/2007
Last updated
12/21/2011
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