National Provider Identifier Database

KALA M FRYE BOURQUE, MD – NPI #1447719596
Pediatric Emergency Medicine

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.


Contact Information

KALA M FRYE BOURQUE, MD
759 CHESTNUT STREET
# S6538
SPRINGFIELD, MA01107-1619
Phone: 413-794-3233
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Emergency Medicine 207PP0204X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for KALA M FRYE BOURQUE

NPI Number 1447719596
Credentials MD
Entity Individual
Enumeration date 03/18/2019
Last updated 06/05/2025 - About 12 months ago
Sole proprietor1 Yes
Identifiers
  • DC License #: MD210002004
  • MA License #: 1022677
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for KALA M FRYE BOURQUE, MD

There are currently no reviews for KALA M FRYE BOURQUE, MD


NPIdb - Home
v2.201