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Contact Information

KIMBERLY A WISE, ATC
304 DOCKSER HALL
BOSTON, MA02115
 Phone: 617-373-2664
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for KIMBERLY A WISE · (Female)

NPI Number 1700964129
Status Active
Credentials ATC
Entity Individual
Enumeration date 11/02/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 1465
Hospital affiliation(s) Not Available
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.

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