Kimberly Elaine Fagen in St Petersburg - Pediatric Radiology
Kimberly Elaine Fagen - NPI 1194795609
Kimberly Elaine Fagen is a Pediatric Radiology in St Petersburg, Florida. Kimberly Elaine Fagen practices all healthcare services and medical treatments related to Pediatric Radiology. The NPI Number for Kimberly Elaine Fagen is 1194795609. The last update date is 2023-03-08.
Kimberly Elaine Fagen's current location address is 501 6th St S, St Petersburg, Florida. You can contact this provider via phone number 7278987451. The mailing address for Kimberly Elaine Fagen is 501 6th St S, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Elaine Fagen |
|---|---|
| Address | 501 6th St S, St Petersburg, Florida |
| Phone Number | 7278987451 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1194795609 |
|---|---|
| Provider Enumeration Date | 2006-01-25 |
| Last Updated Date | 2023-03-08 |
Provider Mailing Address Detail
| Address | 501 6th St S |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337014630 |
| Phone Number | 7278987451 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Radiology |
|---|---|
| Taxonomy | 2085P0229X |
| Licence No | ME138564 |
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Definition: A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the ca |
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What is the Kimberly Elaine Fagen's unique identification number?
The Kimberly Elaine Fagen has been assigned the NPI (National Provider Identifier) Number 1194795609 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Kimberly Elaine Fagen is located?
The Kimberly Elaine Fagen is situated at the following address: 501 6Th St S, St Petersburg, FL, 337014630.
What is Kimberly Elaine Fagen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kimberly Elaine Fagen is Pediatric Radiology, and the corresponding taxonomy classification code for this specialized field is 2085P0229X.
On what date did the Kimberly Elaine Fagen receive its 1194795609 assignment from the Centers for Medicare & Medicaid Services?
The Kimberly Elaine Fagen was assigned its 1194795609 by the Centers for Medicare & Medicaid Services on 2006-01-25.
When was the Kimberly Elaine Fagen's information last updated?
The Kimberly Elaine Fagen's information was last updated on 2023-03-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA