Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Dibona, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1851094486

Kevin Dibona, MD is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

801 Massachusetts Ave Fl 6
Boston, MA 02118-2605
Phone: (617) 414-5951
Fax: (617) 414-9251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 3014442 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MA)

Record details

NPI number1851094486
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 23, 2023
Last updated in NPPESMay 28, 2023
Certification dateMay 28, 2023

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