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NPI Code Detail

MEDICARE: KIMBERLY ANN LEDNUM CRNA

MEDICARE: KIMBERLY ANN LEDNUM CRNA
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
1163WC0200XCritical Care Medicine Registered Nurse165922AZ

General Provider Information

NPI Number : 1164381349
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ANN LEDNUM CRNA
Provider Business Mailing Address
First Line : 5016 W BUCKSKIN TRL
Second Line :
City : PHOENIX
State : AZ
Zip : 85083-2236
Country : US
Telephone Number : 602-326-3114
Fax Number :
Provider Business Practice Location Address
First Line : 1111 E MCDOWELL RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-2612
Country : US
Telephone Number : 602-839-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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Directions to “ KIMBERLY ANN LEDNUM CRNA” Practice Location

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