Kimberly Diane Edwards in Berea - Nurse Practitioner
Kimberly Diane Edwards - NPI 1720064173
Kimberly Diane Edwards is a Nurse Practitioner in Berea, Kentucky. Kimberly Diane Edwards practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kimberly Diane Edwards is 1720064173. The last update date is 2014-06-05.
Kimberly Diane Edwards's current location address is 305 Estill St, Berea, Kentucky. You can contact this provider via phone number 8599851415 and fax number 8599866752. The mailing address for Kimberly Diane Edwards is 305 Estill St, Berea, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Diane Edwards |
|---|---|
| Address | 305 Estill St, Berea, Kentucky |
| Phone Number | 8599851415 |
| Fax Number | 8599866752 |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1720064173 |
|---|---|
| Provider Enumeration Date | 2005-12-19 |
| Last Updated Date | 2014-06-05 |
Provider Mailing Address Detail
| Address | 305 Estill St |
|---|---|
| City | Berea |
| State | Kentucky (KY) |
| Post Code | 404031742 |
| Phone Number | 8599851415 |
| Fax Number | 8599866752 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 3743P |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 78009909 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kimberly Diane Edwards by the Centers for Medicare & Medicaid Services?
The Kimberly Diane Edwards has been assigned the NPI (National Provider Identifier) 1720064173 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kimberly Diane Edwards?
The Kimberly Diane Edwards is physically situated at 305 Estill St, in the city of Berea, state of KY, with the postal code 404031742.
What is Kimberly Diane Edwards's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kimberly Diane Edwards's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Kimberly Diane Edwards receive its 1720064173 assignment from the Centers for Medicare & Medicaid Services?
The Kimberly Diane Edwards was assigned its 1720064173 by the Centers for Medicare & Medicaid Services on 2005-12-19.
As of what date were the details related to Kimberly Diane Edwards most recently updated or revised?
The information pertaining to Kimberly Diane Edwards, including its address, specialty, and other relevant details, was last updated or revised on 2014-06-05.