Fenton, Kimberly

Fenton, Kimberly is an individual health care provider with primary practice located at 601 E Rollins St Florida Hospital Pediatric Intensivists, Orlando FL 32803-1248. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Fenton, Kimberly can be contacted via phone (407) 975-0410.

Contact Information

Primary practice address
601 E Rollins St Florida Hospital Pediatric Intensivists Orlando FL 32803-1248
Phone: (407) 975-0410
Fax: (407) 975-0411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 211725 New York
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X ME129417 Florida

Profile Details

NPI number 1982648838
LBN Legal business name Fenton, Kimberly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Sep 22nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982648838 NPPES
New York Other 7858179 AETNA
New York Other 577Y61 AETNA
New York MEDICAID 02392276 AETNA

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