MEDICARE: MEAGAN KIM CNP

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	390200000X	Student in an Organized Health Care Education/Training Program		MA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN2319970	MA

General Provider Information

NPI Number	:	1427667229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEAGAN KIM CNP

Provider Business Mailing Address
First Line	:	1600 PROVIDENCE HWY
Second Line	:
City	:	WALPOLE
State	:	MA
Zip	:	02081-2553
Country	:	US
Telephone Number	:	508-660-7994
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 PROVIDENCE HWY
Second Line	:
City	:	WALPOLE
State	:	MA
Zip	:	02081-2553
Country	:	US
Telephone Number	:	508-660-7949
Fax Number	:

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

Provider Enumeration Date	:	07/28/2020
Last Update Date	:	03/25/2022

Similar Medicare Providers

1093631129 — ICONIC DME LLC
Practice Location Address:

1600 PROVIDENCE HWY
WALPOLE, MA
02081-2553

Practice Phone: 888-446-4118
Practice Fax: 888-804-0426

1902962145 — DR. KEVIN SCOTT COOPER DC
Practice Location Address:

1600 PROVIDENCE HWY , STE 122
WALPOLE, MA
02081-2553

Practice Phone: 508-921-3348
Practice Fax: 508-921-3427

1699004549 — CST CARE SERVICES INC
Practice Location Address:

1600 PROVIDENCE HWY , SUITE 122
WALPOLE, MA
02081-2553

Practice Phone: 508-404-1100
Practice Fax: 508-404-1135

1770927246 — ACA VENTURES LLC
Practice Location Address:

1600 PROVIDENCE HWY STE 232
WALPOLE, MA
02081-2553

Practice Phone: 888-495-7491
Practice Fax:

1184131898 — MATTHEW PECULIS PMHNP
Practice Location Address:

1600 PROVIDENCE HWY UNIT 167
WALPOLE, MA
02081-2553

Practice Phone: 508-660-7949
Practice Fax:

1194324061 — PHARMAGEARS LLC
Practice Location Address:

1600 PROVIDENCE HWY STE 221
WALPOLE, MA
02081-2553

Practice Phone: 781-789-1123
Practice Fax:

Directions to “ MEAGAN KIM CNP” 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.