Kimmy S Oberstar is a Pediatrics in Roseville, Minnesota. Kimmy S Oberstar practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kimmy S Oberstar is 1043323678. The last update date is 2012-08-24.
Kimmy S Oberstar's current location address is 2910 Centre Pointe Drive, Roseville, Minnesota. You can contact this provider via phone number 6518552327 and fax number 6518552310. The mailing address for Kimmy S Oberstar is 2910 Centre Pointe Drive, Roseville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimmy S Oberstar |
|---|---|
| Address | 2910 Centre Pointe Drive, Roseville, Minnesota |
| Phone Number | 6518552327 |
| Fax Number | 6518552310 |
| Sole Proprietor | N |
| Credentials | CPNP, PMHS |
NPI Number Detail
| NPI Number | 1043323678 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2012-08-24 |
Provider Mailing Address Detail
| Address | 2910 Centre Pointe Drive |
|---|---|
| City | Roseville |
| State | Minnesota (MN) |
| Post Code | 55113 |
| Phone Number | 6518552327 |
| Fax Number | 6518552310 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | R1115279 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 434716100 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kimmy S Oberstar by the Centers for Medicare & Medicaid Services?
The Kimmy S Oberstar has been issued the NPI (National Provider Identifier) 1043323678, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kimmy S Oberstar's physical address?
The Kimmy S Oberstar is physically located at 2910 Centre Pointe Drive, in the city of Roseville, MN, with the postal code 55113.
What is Kimmy S Oberstar's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kimmy S Oberstar's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 363Lp0200X.
On what date did the Kimmy S Oberstar receive its 1043323678 assignment from the Centers for Medicare & Medicaid Services?
The Kimmy S Oberstar was assigned its 1043323678 by the Centers for Medicare & Medicaid Services on 2006-08-17.
When was the information pertaining to Kimmy S Oberstar most recently updated or revised?
The details related to Kimmy S Oberstar, including its address, specialty, and other relevant information, were last updated or revised on 2012-08-24.
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