Provider Demographics
NPI:1326090622
Name:POND, KYLE K (MD)
Entity Type:Individual
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First Name:KYLE
Middle Name:K
Last Name:POND
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Gender:M
Credentials:MD
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Mailing Address - Street 1:300 MOUNT AUBURN ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-5600
Mailing Address - Country:US
Mailing Address - Phone:617-497-1560
Mailing Address - Fax:617-497-1109
Practice Address - Street 1:300 MOUNT AUBURN ST
Practice Address - Street 2:CARDIOLOGY DEPARTMENT
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-5600
Practice Address - Country:US
Practice Address - Phone:617-497-1560
Practice Address - Fax:617-497-1109
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2011-04-12
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Provider Licenses
StateLicense IDTaxonomies
MA217038207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0038731OtherNEIGHBORHOOD HEALTH PLAN
MA1326090622OtherBOSTON MEDICAL CENTER HEALTH NET PLAN
MA1326134OtherAETNA HEALTH PLAN
MA116834OtherFALLON HEALTH PLAN
MA2114054Medicaid
MA2145624OtherCIGNA HEALTH PLAN
MA466625OtherTUFTS
MA96423501OtherNETWORK HEALTH
MAAA64565OtherHARVARD PILGRIM
MAJ40259OtherBCBS
MA1326134OtherAETNA HEALTH PLAN