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NPI Code Detail

MEDICARE: DR. KIMBERLY DANIELLE ABDELKADER MD

MEDICARE: DR. KIMBERLY DANIELLE ABDELKADER MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207R00000XInternal Medicine PhysicianME135648FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609262062
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY DANIELLE ABDELKADER MD
Provider Business Mailing Address
First Line : 8383 N DAVIS HWY DEPT OF
Second Line :
City : PENSACOLA
State : FL
Zip : 32514-6039
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15310 AMBERLY DR STE 250
Second Line :
City : TAMPA
State : FL
Zip : 33647-1642
Country : US
Telephone Number : 813-907-0123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2015
Last Update Date : 07/26/2024

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