Kim Renae Wentz is a Pediatrics in Woodburn, Oregon. Kim Renae Wentz practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kim Renae Wentz is 1962429795. The last update date is 2014-04-30.
Kim Renae Wentz's current location address is 2050 Progress Way, Woodburn, Oregon. You can contact this provider via phone number 5039815348 and fax number 5039810423. The mailing address for Kim Renae Wentz is 2050 Progress Way, Woodburn, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim Renae Wentz |
|---|---|
| Address | 2050 Progress Way, Woodburn, Oregon |
| Phone Number | 5039815348 |
| Fax Number | 5039810423 |
| Sole Proprietor | N |
| Credentials | M.D.,M.P.H |
NPI Number Detail
| NPI Number | 1962429795 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2014-04-30 |
Provider Mailing Address Detail
| Address | 2050 Progress Way |
|---|---|
| City | Woodburn |
| State | Oregon (OR) |
| Post Code | 970719764 |
| Phone Number | 5039815348 |
| Fax Number | 5039810423 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MD28910 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1685249 | NY | -- | |
| 500603441 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kim Renae Wentz by the Centers for Medicare & Medicaid Services (CMS)?
The Kim Renae Wentz has been assigned the NPI (National Provider Identifier) 1962429795. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Kim Renae Wentz is physically located?
The Kim Renae Wentz is situated at the following address: 2050 Progress Way, Woodburn, OR 970719764.
What is Kim Renae Wentz's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kim Renae Wentz is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962429795 to Kim Renae Wentz?
The Centers for Medicare & Medicaid Services originally issued the 1962429795 to Kim Renae Wentz on 2006-07-16.
When was the information regarding Kim Renae Wentz most recently updated?
The details pertaining to the Kim Renae Wentz, including its address, specialty, and other relevant information, were last refreshed on 2014-04-30.