Kimberly Beth Siders PA-C

NPI 1104905751 - Physician Assistant - 363A00000X

NPI Details
NPI 1104905751
Gender Female
Enumeration Date 11/03/2006
Last Updated 02/08/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
8220 US HIGHWAY 19
PORT RICHEY FL, 34668-6639, US
Phone (727) 848-3761
Fax (727) 849-0931
Business Location
8220 US HIGHWAY 19
PORT RICHEY FL, 34668-6639, US
Phone (727) 848-3761
Fax (727) 849-0931
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PA9103918
Remove 1104905751 NPI Number
 

According to our database, Mrs. Kimberly Beth Siders PA-C NPI is 1104905751, taxonomy code is 363A00000X and license number is PA9103918, license state is located at Florida. Kimberly Beth Siders PA-C physically located at 8220 Us Highway 19, Port Richey FL, 34668-6639. NPI Number Kimberly Beth Siders PA-C has the Individual type.

Sponsored links

1104905751 NPI number is provided on an as is basis without warranty of any kind. 1104905751 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Beth Siders PA-C are for informational purposes only.