Individual provider · Type 1 NPI
Kimberli A. Omalley, PNP
Pediatric Nurse Practitioner · Boston, MA
NPI number
1245221464
Active
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Fax (617) 730-0495
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 236043 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1245221464
Kimberli A. Omalley, PNP's National Provider Identifier is 1245221464, issued on Nov 4, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Oct 6, 2009.