1952688848 NPI number — MS. KIMBERLY SUE KAHRMAN APRN

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952688848 NPI number — MS. KIMBERLY SUE KAHRMAN APRN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KAHRMAN
Provider First Name:
KIMBERLY
Provider Middle Name:
SUE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
APRN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ADLER
Provider Other First Name:
KIMBERLY
Provider Other Middle Name:
SUE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
APRN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1952688848
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/22/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
C/O TRINITY HEALTH OF NEW ENGLAND/MERCY MC/OCCUPATIONAL
Provider Second Line Business Mailing Address:
300 STAFFORD STREET STE 256
Provider Business Mailing Address City Name:
SPRINGFIELD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01104
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-748-6873
Provider Business Mailing Address Fax Number:
413-748-6877

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
C/O TRINITY HEALTH OF NEW ENGLAND/MERCY MC/OCCUPATIONAL
Provider Second Line Business Practice Location Address:
300 STAFFORD STREET STE 256
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-748-6873
Provider Business Practice Location Address Fax Number:
413-748-6877
Provider Enumeration Date:
11/07/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  APRN9262806 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: RN10000071 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 019957800 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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