MEDICARE: KIMBERLY J ADAMSON CPNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	235904	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063494995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY J ADAMSON CPNP

Provider Business Mailing Address
First Line	:	64 BOYDEN RD
Second Line	:
City	:	HOLDEN
State	:	MA
Zip	:	01520-2570
Country	:	US
Telephone Number	:	508-885-2003
Fax Number	:	508-885-8071

Provider Business Practice Location Address
First Line	:	64 BOYDEN RD
Second Line	:
City	:	HOLDEN
State	:	MA
Zip	:	01520-2570
Country	:	US
Telephone Number	:	508-885-2003
Fax Number	:	508-885-8071

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	03/21/2024

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