Provider Demographics
NPI:1447230396
Name:KIGNER, STUART E (DPM)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:E
Last Name:KIGNER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 WORCESTER RD
Mailing Address - Street 2:SUITE B2
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-5303
Mailing Address - Country:US
Mailing Address - Phone:508-879-8333
Mailing Address - Fax:508-872-0861
Practice Address - Street 1:600 WORCESTER RD
Practice Address - Street 2:SUITE B2
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-5303
Practice Address - Country:US
Practice Address - Phone:508-879-8333
Practice Address - Fax:508-872-0861
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2008-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1624213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0341983Medicaid
MA714421OtherTUFTS HEALTH PLAN
MAY70681OtherBCBS MA
T58716Medicare UPIN
MAY70681Medicare ID - Type Unspecified