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:
Health care specialties
Specialty | Code | License # | 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 9 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 | 1982648838 | NPPES |
New York | Other | 7858179 | AETNA |
New York | Other | 577Y61 | AETNA |
New York | MEDICAID | 02392276 | AETNA |
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601 E Rollins St , Orlando FL 32803-1248