Fagen, Kimberly Elaine
Fagen, Kimberly Elaine is an individual health care provider with primary practice located at 501 6Th St S , St Petersburg FL 33701-4630. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is her primary health care specialty. Fagen, Kimberly Elaine can be contacted via phone (727) 898-7451.Contact Information
Primary practice address
501 6Th St S
St Petersburg FL 33701-4630
Phone: (727) 898-7451
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D83915 | Maryland |
Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | ME138564 | Florida |
Profile Details
NPI number | 1194795609 |
---|---|
LBN Legal business name | Fagen, Kimberly Elaine |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2006 |
Last updated | Mar 8th, 2023 - about last year |
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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