MEDICARE: KIMBERLY ALFARO PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant		TX

General Provider Information

NPI Number	:	1144063041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY ALFARO PA-C

Provider Business Mailing Address
First Line	:	11613 SAINT MARTIN WAY
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-2149
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1061 HARMON AVE
Second Line	:
City	:	FORT STEWART
State	:	GA
Zip	:	31314-5641
Country	:	US
Telephone Number	:	912-435-6633
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2024
Last Update Date	:	02/09/2026

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Directions to “ KIMBERLY ALFARO PA-C” Practice Location

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