Provider Demographics
NPI:1194034447
Name:COHN, KIMBERLY ROY (NP)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:ROY
Last Name:COHN
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Gender:F
Credentials:NP
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Mailing Address - Street 1:STUDIO AT H2T, LLC
Mailing Address - Street 2:17 COCASSET ST, STE 1
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035
Mailing Address - Country:US
Mailing Address - Phone:508-543-1112
Mailing Address - Fax:508-543-5012
Practice Address - Street 1:STUDIO AT H2T, LLC
Practice Address - Street 2:17 COCASSET ST, STE 1
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035
Practice Address - Country:US
Practice Address - Phone:508-543-1112
Practice Address - Fax:508-543-5012
Is Sole Proprietor?:No
Enumeration Date:2010-10-05
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
MARN250638363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9715274Medicaid