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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003794843

Miss. Kimberly Susan Northrup is a Student in an Organized Health Care Education/Training Program in Newton, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2025
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Practice location Address checks out

1 Wells Ave
Newton, MA 02459-3226
Phone: (617) 227-1604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MA)

Record details

NPI number1003794843
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 21, 2025
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025

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