Kimberly L. Redman in Springfield - Physician Assistant

Kimberly L. Redman - NPI 1366510448

Kimberly L. Redman is a Physician Assistant in Springfield, Missouri. Kimberly L. Redman practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kimberly L. Redman is 1366510448. The last update date is 2011-10-24.

Kimberly L. Redman's current location address is Po Box 2580, Springfield, Missouri. You can contact this provider via phone number 4178294620 and fax number 4178294316. The mailing address for Kimberly L. Redman is Po Box 2580, Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberly L. Redman
Address Po Box 2580, Springfield, Missouri
Phone Number 4178294620
Fax Number 4178294316
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1366510448
Provider Enumeration Date 2006-11-30
Last Updated Date 2011-10-24

Provider Mailing Address Detail

Address Po Box 2580
City Springfield
State Missouri (MO)
Post Code 658012580
Phone Number 4178294620
Fax Number 4178294316

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 2001004539
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
431560263 TRICARE
1366510448 MO --
970019029 RAILROAD MEDICARE

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FAQs about Kimberly L. Redman

What is the Kimberly L. Redman's unique identification number?

The Kimberly L. Redman has been assigned the NPI (National Provider Identifier) Number 1366510448 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Kimberly L. Redman is physically located?

The Kimberly L. Redman is physically situated at the following address: Po Box 2580, Springfield, MO, 658012580.

What is Kimberly L. Redman's area of expertise and its corresponding taxonomy classification?

The Kimberly L. Redman's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.

When did Kimberly L. Redman receive its 1366510448 assignment?

The Kimberly L. Redman was assigned its 1366510448 on 2006-11-30, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Kimberly L. Redman most recently updated or revised?

The information pertaining to Kimberly L. Redman, including its address, specialty, and other relevant details, was last updated or revised on 2011-10-24.

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