Lederman, Kimberly Wall
Lederman, Kimberly Wall is an sole proprietor health care provider with primary practice located at 6420 Clayton Rd , Richmond Heights MO 63117-1811. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Lederman, Kimberly Wall can be contacted via phone (314) 768-8360.Contact Information
Primary practice address
6420 Clayton Rd
Richmond Heights MO 63117-1811
Phone: (314) 768-8360
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 114588 | Missouri |
Profile Details
| NPI number | 1770682379 |
|---|---|
| LBN Legal business name | Lederman, Kimberly Wall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Aug 30th, 2013 - about 11 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 | 1770682379 | NPPES |
| Missouri | MEDICAID | 203801717 |
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