MEDICARE: MRS. KIMBERLY ANN COX MD

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	207L00000X	Anesthesiology Physician	MD11710	RI

General Provider Information

NPI Number	:	1285618009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KIMBERLY ANN COX MD

Provider Business Mailing Address
First Line	:	6 RUNDEL PARK
Second Line	:
City	:	DORCHESTER CENTER
State	:	MA
Zip	:	02124-5018
Country	:	US
Telephone Number	:	617-282-3522
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 KENYON AVE
Second Line	:
City	:	WAKEFIELD
State	:	RI
Zip	:	02879-4216
Country	:	US
Telephone Number	:	401-782-8000
Fax Number	:

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

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	07/08/2007

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