MEDICARE: KMN DERMATOLOGY & AESTHETICS PC

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	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1144575473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KMN DERMATOLOGY & AESTHETICS PC

Provider Business Mailing Address
First Line	:	146 MAIN ST,
Second Line	:	STE 2B
City	:	NORFOLK
State	:	MA
Zip	:	02056-1322
Country	:	US
Telephone Number	:	508-346-3579
Fax Number	:	508-346-3967

Provider Business Practice Location Address
First Line	:	146 MAIN ST,
Second Line	:	STE 2B
City	:	NORFOLK
State	:	MA
Zip	:	02056-1322
Country	:	US
Telephone Number	:	508-346-3579
Fax Number	:	508-346-3967

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. JULIE MARY AHERN
Credential	:
Telephone Number	:	508-346-3579

Provider Enumeration Date	:	07/24/2012
Last Update Date	:	10/17/2012

Similar Medicare Providers

1356313746 — DR. MITCHELL STUART PASENKOFF D.M.D.
Practice Location Address:

146 MAIN ST , SUITE 2A
NORFOLK, MA
02056-1322

Practice Phone: 508-528-5351
Practice Fax: 508-541-7410

1669666913 — MITCHELL PASENKOFF, DMD
Practice Location Address:

146 MAIN ST , SUITE 2A
NORFOLK, MA
02056-1322

Practice Phone: 508-528-5351
Practice Fax:

1649949777 — HEEKYEONG MA NP-C
Practice Location Address:

31 PINE ST STE 204
NORFOLK, MA
02056-1680

Practice Phone: 617-739-2100
Practice Fax:

1366440794 — DR. MOHAMAD R EL-ZARU MD
Practice Location Address:

31 PINE ST
NORFOLK, MA
02056-1642

Practice Phone: 508-623-3700
Practice Fax:

1417935248 — DR. GREGORY LEE QUICK M.D.
Practice Location Address:

32 RIDGE RD
NORFOLK, MA
02056-1746

Practice Phone: 508-520-1073
Practice Fax:

1154398139 — DOUGLAS J KOZA M.D.
Practice Location Address:

81 GROVE ST
NORFOLK, MA
02056-1756

Practice Phone: 508-528-9547
Practice Fax: 508-528-9547

Directions to “KMN DERMATOLOGY & AESTHETICS PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.