Kimberly Anne Dewey
Adolescent Medicine
2207 Boston Rd
Wilbraham
, Massachusetts 01095-1155
Kimberly Anne Dewey
Adolescent Medicine
2207 Boston Rd
Wilbraham
, Massachusetts 01095-1155
(413) 596-2940
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Kimberly Anne Dewey
- 2207 Boston Rd
- Wilbraham, MA
- Zip : 01095-1155
- Fax : (413) 596-2940
- Phone : (413) 599-1201
Second Address
- Kimberly Anne Dewey
- 2207 Boston Rd
- Wilbraham, MA
- Zip : 01095-1155
- Fax : (413) 596-2940
- Phone : (413) 599-1201
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 220683 | MA |
National Provider Identifier
| NPI | 1063408581 |
|---|---|
| Provider Name | Kimberly Anne Dewey |
| First Address | Wilbraham, MA 01095-1155 |
| Second Address | Wilbraham, MA 01095-1155 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000028542 | BOSTON MED CENTER HEALTHN (01) | |
| 1205530 | UNITED HEALTHCARE (01) | |
| 2080303 | (05) | MA |
| 220683 | CONNECTICARE (01) | |
| 220683 | MA LICENSE (01) | |
| 34817 | HEALTH NEW ENGLAND (01) | |
| 7034605 | AETNA/USHC (01) | |
| 70513 | CHILDRENS MEDICAL SECURIT (01) | |
| 969421 | NETWORK HEALTH (01) | |
| A37431 | (02) | |
| AA16576 | HARVARD PILGRIM (01) | |
| BD8793552 | DEA (01) | |
| J27969 | BCBS (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.