Individual provider · Type 1 NPI

Kevin Michael Knoblock, NP

Nurse Practitioner · Boston, MA

NPI number 1710278726 Active

Practice location

55 Fruit St
Boston, MA 02114

Other practice locations

  • 450 Brookline Ave, Boston, MA 02215-5418 · (617) 632-3000

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XRN2258603 (MA)
Nurse Practitioner Primary 363L00000XRN2258603 (MA)
Nurse Practitioner 363L00000X2258603 (MA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1710278726

Kevin Michael Knoblock, NP's National Provider Identifier is 1710278726, issued on Apr 25, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on Jul 25, 2022.