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Dr. Jennifer Moore Kickham, MD
Obstetrics & Gynecology Physician in Boston, Massachusetts
NPI 1033143128

Jennifer Moore Kickham is a Obstetrics & Gynecology Physician based in Charlestown, MA. Jennifer Moore Kickham practices in Boston, MA and has the professional credentials of MD. The NPI Number for Jennifer Moore Kickham is 1033143128 and holds a License No. 215787 (Massachusetts).

The current practice location address for Jennifer Moore Kickham is 55 Fruit Street Yaw 4, Boston, MA and can be reached out via phone at 617-724-6850 and via fax at 617-724-5843.

Location: 55 Fruit Street Yaw 4, Boston, MA, 02129-9142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033143128
Provider Name
Jennifer Moore Kickham
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
55 Fruit Street Yaw 4, Boston, MA, 02129-9142
Phone Number
617-724-6850
Fax Number
617-724-5843
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0178861 05 MA
J25357 01 MA BCBS MA
215787 01 MA TUFTS HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
55 Fruit Street Yaw 4
City
Boston
State
Massachusetts
Zip
02114
Phone Number
617-724-6850
Fax Number
617-724-5843
person
Provider Business Mailing Address Details
Address
55 Fruit Street Yaw 4
City
Boston
State
Massachusetts
Zip
02114
Phone Number
617-724-6850
Fax Number
617-724-5843
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
215787 (Massachusetts)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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