Dr. Kimball A Prentiss
MD | Pediatric Emergency Medicine | Female
Dr. Kimball A Prentiss, MD is a Springfield, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Kimball A Prentiss is
759 Chestnut St, Springfield, Massachusetts - 01199-1619. She can be contacted on phone at
413-794-3233 and fax number 413-794-9060.
Dr. Kimball A Prentiss is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kimball A Prentiss is
1972555670 which was assigned by NPPES on 17 May, 2006 and it was last updated on 21 Mar, 2015.
Dr. Kimball A Prentiss license number is
224057 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Massachusetts.
Dr. Kimball A Prentiss has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Kimball A Prentiss basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Kimball A Prentiss |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Kimball A Prentiss address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 759 Chestnut St
Springfield, MA, 01199-1619
United States |
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| Phone Number : | 413-794-3233 |
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| Fax Number : | 413-794-9060 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1972555670 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 May, 2006 |
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| Last Updated On : | 21 Mar, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kimball A Prentiss are as mentioned. Primary taxonomy code for Dr. Kimball A Prentiss, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 224057 | MA |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 224057 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kimball A Prentiss such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 110041041A | MEDICAID | MA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 280 Chestnut St, 2nd Floor
Springfield, MA, 01199-1619
United States |
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| Phone Number : | 413-794-5700 |
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Business Location:
Patients can refer following map for directions to
Dr. Kimball A Prentiss practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.