Active NPIIndividual provider

Dr. Kim A Wilson, MD

Pediatrics in Jamaica Plain, Massachusetts

NPI Number1124194006
Practice location
75 Bickford St, Martha Eliot Health Center, Jamaica Plain, MA 02130-1401
Fax
—
Last updated
July 8, 2007

Kim A Wilson is a Pediatrics based in Jamaica Plain, MA. Kim A Wilson practices in Jamaica Plain, MA and has the professional credentials of MD. The NPI Number for Kim A Wilson is 1124194006 and holds a License No. 76388 (MA). The current practice location address for Kim A Wilson is 75 Bickford St, Martha Eliot Health Center, Jamaica Plain, MA 02130-1401 and can be reached out via phone at 617-971-2312.

Provider Profile Details

NPI Number
1124194006
Provider Name
Kim A Wilson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
75 Bickford St, Martha Eliot Health Center, Jamaica Plain, MA 02130-1401
Phone Number
617-971-2312
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
November 24, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Bickford St
Martha Eliot Health Center
Jamaica Plain, MA 02130-1401
Zip
02130-1401
Phone Number
617-971-2312
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
63 Claypit Hill RD
Wayland, MA 01778-2004
City
Wayland
State
MA
Zip
01778-2004
Phone Number
508-358-7841

License Information

License Number
76388
License State
MA
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kim A Wilson, MD?

The NPI number of Dr. Kim A Wilson, MD is 1124194006. It was assigned on November 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kim A Wilson, MD?

Dr. Kim A Wilson, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 76388.

Where does Dr. Kim A Wilson, MD practice?

The practice location is 75 Bickford St, Martha Eliot Health Center, Jamaica Plain, MA 02130-1401. The office can be reached at 617-971-2312 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124194006 directly on the NPPES registry website.

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