KIMBERLEY B OLDEWAGE — Medicare Enrolled Provider (PRACTITIONER - PHYSICIAN ASSISTANT, NM)
KIMBERLEY B OLDEWAGE — Medicare Enrolled Provider (PRACTITIONER - PHYSICIAN ASSISTANT, NM) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: KIMBERLEY B OLDEWAGE; Type: Individual; NPI: 1003183187.
| Name | KIMBERLEY B OLDEWAGE |
|---|---|
| Type | Individual |
| NPI | 1003183187 |
| Provider type | PRACTITIONER - PHYSICIAN ASSISTANT |
| State | NM |
| Enrollment ID | I20190124001659 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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