NPI Profile for KALA M FRYE BOURQUE in SPRINGFIELD, MA.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Emergency Medicine |
207PP0204X | 93 | Physician/Emergency Medicine | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1447719596 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 03/18/2019 | |
| Last updated | 06/05/2025 - About 12 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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KALA M FRYE BOURQUE
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