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NPI Code Detail

MEDICARE: KARA E. KIMBERLY MD

MEDICARE: KARA E. KIMBERLY 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
1363A00000XPhysician AssistantPA55814MD
2207Y00000XOtolaryngology PhysicianTRN147990FL
3207Y00000XOtolaryngology PhysicianMD455721PA

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 : 1477530756
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA E. KIMBERLY MD
Provider Business Mailing Address
First Line : 3341 BEALE AVE
Second Line :
City : ALTOONA
State : PA
Zip : 16601-1549
Country : US
Telephone Number : 814-944-5357
Fax Number :
Provider Business Practice Location Address
First Line : 3341 BEALE AVE
Second Line :
City : ALTOONA
State : PA
Zip : 16601-1549
Country : US
Telephone Number : 814-944-5357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 01/26/2017

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Directions to “ KARA E. KIMBERLY MD” Practice Location

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