Kimberly Malmborg
Specialist/Technologist, Athletic Trainer in Hingham, MA. Individual provider (NPI-1).
NPI number1689202111
StatusActive
Last updated in NPPESMay 12, 2022
Details
- NPI
- 1689202111
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Malmborg
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2020
- Certification date
- May 12, 2022
- Last updated
- May 12, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 3553 | MA | Yes |
Practice location
2 Pond Park Rd Ste 102Hingham, MA 02043-4354
Phone 781-337-5555
Mailing address
10 Cliff St Apt 3Quincy, MA 02169-1460
Other practice locations
5151 Park Ave
Fairfield, CT 06825-1090
Fairfield, CT 06825-1090
Phone 203-371-7999
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Athletic Trainer providers in Hingham, MA
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