Provider Demographics
NPI:1942640198
Name:SCHENA, KIMBERLY SMITH (NP)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:SMITH
Last Name:SCHENA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:ANN
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:99 LORING DR
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-8785
Mailing Address - Country:US
Mailing Address - Phone:508-532-5100
Mailing Address - Fax:
Practice Address - Street 1:99 LORING DR
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-8785
Practice Address - Country:US
Practice Address - Phone:508-532-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA224314363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health