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NPI Code Detail

MEDICARE: KIMBERLY A DEVER M.D.

MEDICARE: KIMBERLY A DEVER M.D.
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
1207V00000XObstetrics & Gynecology Physician78939MA

Other Identifiers

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

General Provider Information

NPI Number : 1265433973
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY A DEVER M.D.
Provider Business Mailing Address
First Line : PO BOX 188
Second Line :
City : S WEYMOUTH
State : MA
Zip : 02190
Country : US
Telephone Number : 339-201-4120
Fax Number : 781-545-8117
Provider Business Practice Location Address
First Line : 90 LIBBEY PARKWAY
Second Line : SUITE 105
City : S WEYMOUTH
State : MA
Zip : 02189
Country : US
Telephone Number : 339-201-4120
Fax Number : 781-545-8117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 09/14/2012

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Directions to “ KIMBERLY A DEVER M.D.” Practice Location

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