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KIM A CONNOLLY NP
NPI 1790237469
Nurse Practitioner - Pediatrics in Southborough, MA

Active since October 28, 2016
162 CORDAVILLE RD, SOUTHBOROUGH, MA 01772(508) 229-8811 Get Directions Write a Review

NPPES record last updated: February 4, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 4, 2020, Oct 28, 2016 (2 updates tracked since 2016).

About Kim A Connolly Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM A CONNOLLY NP (NPI 1790237469) is an individual pediatrics provider in Southborough, Massachusetts, licensed in Massachusetts (RN155278) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1790237469
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKIM A CONNOLLYCredential: NP
Location Address162 CORDAVILLE RDSouthborough, MA 01772-1838
Mailing Address67 Union St Fl 2, Child Development UnitNatick, MA 01760-6089 · (508) 650-7733 · Fax (508) 650-7807
Phone(508) 229-8811
Sole ProprietorNo
Enumeration DateOctober 28, 2016
Last NPPES UpdateFebruary 4, 20202 updates tracked since enumeration
✔ NPI 1790237469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MA · RN155278
162 CORDAVILLE RD, Southborough, MA 01772
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KAREN ELLEN REDNOR MD
Pediatrics
162 CORDAVILLE RD, SUITE 185
SOUTHBOROUGH, MA 01772
Worcester County (508) 229-8811
DENTAL HEALTH CENTER
Dentist (Orthodontics and Dentofacial Orthopedics)
162 CORDAVILLE RD, SUITE 175
SOUTHBOROUGH, MA 01772
Worcester County (508) 624-0202
HASSNA ATLASSI MD
Internal Medicine
162 CORDAVILLE RD
SOUTHBOROUGH, MA 01772
Worcester County (508) 281-9471
DR. MICHAEL PAUL MONOPOLI DMD
Dentist (General Practice)
162 CORDAVILLE RD, TOWN CENTER PLAZA, SUITE 175
SOUTHBOROUGH, MA 01772
Worcester County (508) 624-0202
TOWN CENTER PEDIATRICS
Pediatrics
162 CORDAVILLE RD, SUITE 185
SOUTHBOROUGH, MA 01772
Worcester County (508) 229-8811

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Connolly's NPI number?

The NPI number for Kim Connolly is 1790237469. It was assigned to this individual provider in the NPPES registry on October 28, 2016.

Where is Kim Connolly located?

Kim Connolly practices at 162 Cordaville Rd, Southborough, MA 01772. The listed phone number is (508) 229-8811.

What is Kim Connolly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Kim Connolly was last updated on February 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.