DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KIMBERLY WALL LEDERMAN M.D.

MEDICARE: KIMBERLY WALL LEDERMAN M.D.
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
1207P00000XEmergency Medicine Physician114588MO

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 : 1770682379
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY WALL LEDERMAN M.D.
Provider Business Mailing Address
First Line : 6453 CECIL AVE
Second Line :
City : CLAYTON
State : MO
Zip : 63105-2224
Country : US
Telephone Number : 314-725-7787
Fax Number :
Provider Business Practice Location Address
First Line : 6420 CLAYTON RD
Second Line :
City : RICHMOND HEIGHTS
State : MO
Zip : 63117-1811
Country : US
Telephone Number : 314-768-8360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 08/30/2013

Similar Medicare Providers

1144465519 — DR. LISA RAE MOHRMAN M.D.
Practice Location Address:
6420 CLAYTON RD
RICHMOND HEIGHTS, MO
63117-1811
Practice Phone: 314-488-0300
Practice Fax:
1376584441 — MS. TRACY ROSE GOLDBERG-GROSS R.D.
Practice Location Address:
6420 CLAYTON RD
RICHMOND HEIGHTS, MO
63117-1811
Practice Phone: 314-768-8891
Practice Fax:
1699717728 — DR. LINDA BICK M.D.
Practice Location Address:
6420 CLAYTON RD
RICHMOND HEIGHTS, MO
63117-1811
Practice Phone: 314-768-8000
Practice Fax:
1023045655 — DR. PETER SCOTT EMERSON MD
Practice Location Address:
6420 CLAYTON RD
RICHMOND HEIGHTS, MO
63117-1811
Practice Phone: 314-317-0600
Practice Fax: 314-317-0606
1962587170 — DR. WILLIAM SCOTT GILMORE MD
Practice Location Address:
6420 CLAYTON RD
RICHMOND HEIGHTS, MO
63117-1811
Practice Phone: 314-768-8360
Practice Fax:
1699961656 — TARA DAWN SCHULTE D.O.
Practice Location Address:
6420 CLAYTON RD
RICHMOND HEIGHTS, MO
63117-1811
Practice Phone: 314-768-8360
Practice Fax:

Directions to “ KIMBERLY WALL LEDERMAN M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.