Provider Demographics
NPI:1417558586
Name:PARIS, KIMBERLEY S (PHLEBOTOMIST RPT)
Entity Type:Individual
Prefix:
First Name:KIMBERLEY
Middle Name:S
Last Name:PARIS
Suffix:
Gender:F
Credentials:PHLEBOTOMIST RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W CUMMINGS PK SUITE 5225
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801
Mailing Address - Country:US
Mailing Address - Phone:781-376-1806
Mailing Address - Fax:781-376-4165
Practice Address - Street 1:800 W CUMMINGS PARK STE 5225
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6356
Practice Address - Country:US
Practice Address - Phone:603-897-9277
Practice Address - Fax:781-376-4165
Is Sole Proprietor?:No
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor