Kim A Connolly, NP
Nurse Practitioner, Pediatrics in Southborough, Massachusetts
1790237469- Practice location
- 162 Cordaville RD, Southborough, MA 01772-1838
- Phone
- 508-229-8811
- Fax
- —
- Last updated
- February 4, 2020
Kim A Connolly is a Nurse Practitioner, Pediatrics based in Southborough, MA. Kim A Connolly practices in Southborough, MA and has the professional credentials of NP. The NPI Number for Kim A Connolly is 1790237469 and holds a License No. RN155278 (MA). The current practice location address for Kim A Connolly is 162 Cordaville RD, Southborough, MA 01772-1838 and can be reached out via phone at 508-229-8811.
Provider Profile Details
- NPI Number
- 1790237469
- Provider Name
- Kim A Connolly
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 162 Cordaville RD, Southborough, MA 01772-1838
- Phone Number
- 508-229-8811
- Primary Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 28, 2016
- Last Update Date
- February 4, 2020
- Certification Date
- February 4, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 162 Cordaville RD
Southborough, MA 01772-1838 - City
- Southborough
- State
- Massachusetts
- Zip
- 01772-1838
- Phone Number
- 508-229-8811
Provider Business Mailing Address Details
- Address
- 67 Union St Fl 2
Child Development Unit
Natick, MA 01760-6089 - City
- Natick
- State
- MA
- Zip
- 01760-6089
- Phone Number
- 508-650-7733
- Fax Number
- 508-650-7807
License Information
- License Number
- RN155278
- License State
- MA
- Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Kim A Connolly, NP?
The NPI number of Kim A Connolly, NP is 1790237469. It was assigned on October 28, 2016 and is currently active in the NPPES registry.
What is the specialty of Kim A Connolly, NP?
Kim A Connolly, NP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in MA under license number RN155278.
Where does Kim A Connolly, NP practice?
The practice location is 162 Cordaville RD, Southborough, MA 01772-1838. The office can be reached at 508-229-8811 (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 1790237469 directly on the NPPES registry website.