Provider Demographics
NPI:1174510465
Name:BROWNE-MARTIN, KIMBERLY A (MD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:A
Last Name:BROWNE-MARTIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01107-1270
Mailing Address - Country:US
Mailing Address - Phone:413-734-4661
Mailing Address - Fax:413-737-1930
Practice Address - Street 1:2 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 210
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1270
Practice Address - Country:US
Practice Address - Phone:413-734-4661
Practice Address - Fax:413-737-1930
Is Sole Proprietor?:No
Enumeration Date:2005-10-01
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA78641207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3151018Medicaid
MA3151018Medicaid