Desire Huckfeldt Kangsen, | |
1 Harvard Rd, Shirley, MA 01464-2434 | |
(978) 514-6400 | |
Not Available |
Full Name | Desire Huckfeldt Kangsen |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1 Harvard Rd, Shirley, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043775562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN279842 (Massachusetts) | Primary |
Entity Name | Community Health Connections, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477580827 PECOS PAC ID: 8729074992 Enrollment ID: O20040422001136 |
Mailing Address | Practice Location Address |
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Desire Huckfeldt Kangsen, 1 Harvard Rd, Shirley, MA 01464-2434 Ph: () - | Desire Huckfeldt Kangsen, 1 Harvard Rd, Shirley, MA 01464-2434 Ph: (978) 514-6400 |
Claire Lucy Johannes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Harvard Rd, Shirley, MA 01464 Phone: 978-514-6500 | |
Bartholomew Nelson, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Harvard Rd, Shirley, MA 01464 Phone: 978-514-6500 | |
Joan Bei Kima-tabong, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Harvard Rd, Shirley, MA 01464 Phone: 978-425-4341 Fax: 508-792-7888 | |
Mr. William Thuo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Havard Rd, Shirley, MA 01464 Phone: 978-514-6500 |