Kimberly Denise Fedrick in Hephzibah - Licensed Practical Nurse
Kimberly Denise Fedrick - NPI 1801059589
Kimberly Denise Fedrick is a Licensed Practical Nurse in Hephzibah, Georgia. Kimberly Denise Fedrick practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Kimberly Denise Fedrick is 1801059589. The last update date is 2008-07-03.
Kimberly Denise Fedrick's current location address is 2503 Inverness Dr, Hephzibah, Georgia. You can contact this provider via phone number 7067984658. The mailing address for Kimberly Denise Fedrick is 2503 Inverness Dr, Hephzibah, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Denise Fedrick |
|---|---|
| Address | 2503 Inverness Dr, Hephzibah, Georgia |
| Phone Number | 7067984658 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1801059589 |
|---|---|
| Provider Enumeration Date | 2008-07-03 |
| Last Updated Date | 2008-07-03 |
Provider Mailing Address Detail
| Address | 2503 Inverness Dr |
|---|---|
| City | Hephzibah |
| State | Georgia (GA) |
| Post Code | 308155845 |
| Phone Number | 7067984658 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 62344 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the Kimberly Denise Fedrick's 1801059589?
The Kimberly Denise Fedrick's NPI (National Provider Identifier) Number is 1801059589. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kimberly Denise Fedrick?
The Kimberly Denise Fedrick is physically situated at 2503 Inverness Dr, in the city of Hephzibah, state of GA, with the postal code 308155845.
What is the Kimberly Denise Fedrick's specialty and taxonomy code?
The Kimberly Denise Fedrick's specialty is Licensed Practical Nurse, and the corresponding taxonomy code is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1801059589 to Kimberly Denise Fedrick?
The Kimberly Denise Fedrick received its 1801059589 assignment from the Centers for Medicare & Medicaid Services on 2008-07-03.
When was the information related to Kimberly Denise Fedrick most recently updated or refreshed?
The details pertaining to the Kimberly Denise Fedrick, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-03.
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