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NPI Code Detail

MEDICARE: DR. KIMBERLY A ARTIS MD

MEDICARE: DR. KIMBERLY A ARTIS 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
1208000000XPediatrics Physician35-04-8751OH

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 : 1326030784
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY A ARTIS MD
Provider Business Mailing Address
First Line : 2200 JEFFERSON AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43604-7101
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2213 FRANKLIN AVE
Second Line : 5TH FLOOR
City : TOLEDO
State : OH
Zip : 43620-1402
Country : US
Telephone Number : 419-251-2415
Fax Number : 419-251-2422
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 09/03/2015

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Directions to “ DR. KIMBERLY A ARTIS MD” Practice Location

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