Mudge, Kimberlee
Mudge, Kimberlee is an individual health care provider with primary practice located at 1703 Innovation Drive Suite 3136, York PA 17408-8815. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Mudge, Kimberlee can be contacted via phone (717) 741-3449.Contact Information
Primary practice address
1703 Innovation Drive Suite 3136
York PA 17408-8815
Phone: (717) 741-3449
Fax: (717) 741-5496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD053182L | Pennsylvania |
Profile Details
| NPI number | 1366425316 |
|---|---|
| LBN Legal business name | Mudge, Kimberlee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Jan 25th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366425316 | NPPES |
| Pennsylvania | MEDICAID | 1597216 |
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