Active NPIIndividual providerSole proprietor

Kim L Fernandes

Massage Therapist in Hyannis, Massachusetts

NPI Number1962762153
Practice location
540 Main St, Hyannis, MA 02601-5100
Fax
—
Last updated
June 14, 2013

Kim Lee Fernandes is a Massage Therapist based in Hyannis, MA. Kim Lee Fernandes practices in Hyannis, MA. The NPI Number for Kim Lee Fernandes is 1962762153 and holds a License No. 777 (MA). The current practice location address for Kim Lee Fernandes is 540 Main St, Hyannis, MA 02601-5100 and can be reached out via phone at 508-694-6598.

Provider Profile Details

NPI Number
1962762153
Provider Name
Kim Lee Fernandes
Provider Entity Type
Individual
Gender
Female
Address
540 Main St, Hyannis, MA 02601-5100
Phone Number
508-694-6598
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Provider Enumeration Date
May 21, 2012
Last Update Date
June 14, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
540 Main St
Hyannis, MA 02601-5100
Zip
02601-5100
Phone Number
508-694-6598
Hyannis, MA 02601Get directions →

Provider Business Mailing Address Details

Address
Po Box 1083
Osterville, MA 02655-5083
City
Osterville
State
MA
Zip
02655-5083
Phone Number
508-790-0606

License Information

License Number
777
License State
MA
Taxonomy
Massage Therapist · 225700000X · 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 Kim L Fernandes?

The NPI number of Kim L Fernandes is 1962762153. It was assigned on May 21, 2012 and is currently active in the NPPES registry.

What is the specialty of Kim L Fernandes?

Kim L Fernandes is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in MA under license number 777.

Where does Kim L Fernandes practice?

The practice location is 540 Main St, Hyannis, MA 02601-5100. The office can be reached at 508-694-6598 (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 1962762153 directly on the NPPES registry website.

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