Kimberly A Dettloff in Addison - Preventive Medicine/occupational Environmental Medicine

Kimberly A Dettloff - NPI 1114044476

Kimberly A Dettloff is a Preventive Medicine/occupational Environmental Medicine in Addison, Texas. Kimberly A Dettloff practices all healthcare services and medical treatments related to Preventive Medicine/occupational Environmental Medicine. The NPI Number for Kimberly A Dettloff is 1114044476. The last update date is 2010-02-18.

Kimberly A Dettloff's current location address is 5080 Spectrum Dr, Addison, Texas. You can contact this provider via phone number 9723648000. The mailing address for Kimberly A Dettloff is 5080 Spectrum Dr, Addison, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberly A Dettloff
Address 5080 Spectrum Dr, Addison, Texas
Phone Number 9723648000
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1114044476
Provider Enumeration Date 2007-03-23
Last Updated Date 2010-02-18

Provider Mailing Address Detail

Address 5080 Spectrum Dr
City Addison
State Texas (TX)
Post Code 750014648
Phone Number 9723648000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Preventive Medicine/occupational Environmental Medicine
Taxonomy 2083P0500X
Licence No 036-086013
Definition:
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

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FAQs about Kimberly A Dettloff

What is the unique 10-digit identifier code assigned to Kimberly A Dettloff by the Centers for Medicare & Medicaid Services?

The Kimberly A Dettloff has been issued the NPI (National Provider Identifier) 1114044476 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Kimberly A Dettloff's facilities are geographically located?

The facilities of Kimberly A Dettloff are physically situated at the following location: 5080 Spectrum Dr, Addison, TX, 750014648.

What is Kimberly A Dettloff's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kimberly A Dettloff's area of specialization is Preventive Medicine/occupational Environmental Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2083P0500X.

On what date did the Kimberly A Dettloff receive its 1114044476 assignment from the Centers for Medicare & Medicaid Services?

The Kimberly A Dettloff was assigned its 1114044476 by the Centers for Medicare & Medicaid Services on 2007-03-23.

When was the information related to Kimberly A Dettloff most recently updated or refreshed?

The details pertaining to the Kimberly A Dettloff, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-02-18.

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