| Doctor Name: | MS. KIMBERLY BETH ABDOW |
| NPI Number: | 1003007477 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 206917 |
| Business Practice Address: | 202 Russell St Worcester, MA - 016092265 |
| Business Phone Number: | 5087535554 |
| Business Fax Number: | |
| Mailing Address: | 202 Russell St, WORCESTER |
| State: | MA |
| Postal Code: | 016092265 |
| Phone Number: | 5087535554 |
| Fax Number: | |
| NPI Enumeration Date: | 08/09/2007 |
| NPI Last Update Date: | 04/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SF0001X |
| License Number: | 206917 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Family Health |
| Taxonomy Definition: | |