Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KIMBERLY ELLEN BANACH
Active Sole ProprietorMS. KIMBERLY ELLEN BANACH is a Community/Behavioral Health healthcare provider located in CHARLTON, Massachusetts. NPI 1730859539 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · CHARLTON, MA
Registration Details
- NPI Number
- 1730859539
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2021 (4.8933733432897 yrs)
- Last Updated
- Sep 14, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
75 BOND RDCHARLTON, MA, 015071301Browse MA providers · Browse ZIP 01507
- Phone
- 5085238371
- Primary Specialty
-
Community/Behavioral Health
251S00000X
- Additional Specialty
- Community/Behavioral Health
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.