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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Popular Providers