Kimberly Donelson in Shreveport - Pediatrics

Kimberly Donelson - NPI 1750537767

Kimberly Donelson is a Pediatrics in Shreveport, Louisiana. Kimberly Donelson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kimberly Donelson is 1750537767. The last update date is 2011-10-14.

Kimberly Donelson's current location address is 1512 W Kirby Pl, Shreveport, Louisiana. You can contact this provider via phone number 3186757636 and fax number 3186757531. The mailing address for Kimberly Donelson is 1512 W Kirby Pl, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberly Donelson
Address 1512 W Kirby Pl, Shreveport, Louisiana
Phone Number 3186757636
Fax Number 3186757531
Sole Proprietor N
Credentials CPNP

NPI Number Detail

NPI Number 1750537767
Provider Enumeration Date 2008-08-09
Last Updated Date 2011-10-14

Provider Mailing Address Detail

Address 1512 W Kirby Pl
City Shreveport
State Louisiana (LA)
Post Code 711033822
Phone Number 3186757636
Fax Number 3186757531

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No RN089397 AP0
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
3A776F600 LA MEDICARE - PTAN
1316865 LA --

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FAQs about Kimberly Donelson

What is the unique 10-digit identifier code issued to Kimberly Donelson by the Centers for Medicare & Medicaid Services?

The Kimberly Donelson has been assigned the NPI (National Provider Identifier) 1750537767 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

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

The facilities of Kimberly Donelson are physically situated at the following location: 1512 W Kirby Pl, Shreveport, LA, 711033822.

What is the area of specialization for Kimberly Donelson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kimberly Donelson is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 363Lp0200X.

On what date did Kimberly Donelson receive its 1750537767 assignment from the Centers for Medicare & Medicaid Services?

The Kimberly Donelson was assigned its 1750537767 on 2008-08-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

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

The information pertaining to Kimberly Donelson, including its address, specialty, and other relevant details, was last updated or revised on 2011-10-14.

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