Individual provider · Type 1 NPI

Erin A. Kickham, MS, RN, CPNP

Pediatric Nurse Practitioner · Boston, MA

NPI number 1043737968 Active

Practice location

300 Longwood Ave
Boston, MA 02115-5724

Other practice locations

  • 64 Melrose Ave, Needham, MA 02492-3510 · (161) 784-0600
  • 64 Melrose Ave, Needham, MA 02492-3510 · (161) 784-0600
  • 55 Route 130, Forestdale, MA 02644-1402 · (508) 477-5306

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN2310531 (MA)
Pediatric Nurse Practitioner Primary 363LP0200XRN2310531 (MA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1043737968

Erin A. Kickham, MS, RN, CPNP's National Provider Identifier is 1043737968, issued on Aug 23, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Nov 18, 2021.