KMN Dermatology & Aesthetics PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

KMN DERMATOLOGY & AESTHETICS PC

Doing business as

d/b/a - Skin & Within

Practice address

146 Main St,
Ste 2B
Norfolk, MA 02056-1322

Phone

(508) 346-3579

Fax

(508) 346-3967

NPI assigned

Jul 24, 2012

Last updated

Oct 17, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Julie Mary Ahern

Title

Office Manager

Phone

(508) 346-3579

Specialties & licenses 1

Addresses

Other names 1

• d/b/a - Skin & Within Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1144575473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 MAIN ST,",
            "address_2": "STE 2B",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561322",
            "telephone_number": "508-346-3579",
            "fax_number": "508-346-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 MAIN ST,",
            "address_2": "STE 2B",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561322",
            "telephone_number": "508-346-3579",
            "fax_number": "508-346-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMN DERMATOLOGY & AESTHETICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "AHERN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-346-3579",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "d/b/a - Skin & Within",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Marie Kannally, OTR
• Katherine Jane Karol, NP
• Jessica Jean Kemble, BS, OT
• Tracey A. Kimsey
• Rosette Namwanje Kintu
• Jennifer Kneeland
• Douglas J Koza, M.D.
• Jennifer Lafond
• Ellen S Leventhal, LMFT
• Jennifer Lee Levine

• Dermatology Physician in Norfolk, MA
• Providers in Norfolk, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.