Oldewage, Kimberley B.

Oldewage, Kimberley B. is an individual health care provider with primary practice located at 1350 Jackie Road Ste 101 Westside Family Medicine, Rio Rancho NM 87124-1519. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Oldewage, Kimberley B. can be contacted via phone (505) 892-7518.

Contact Information

Primary practice address
1350 Jackie Road Ste 101 Westside Family Medicine Rio Rancho NM 87124-1519
Phone: (505) 892-7518
Fax: (505) 892-9092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2011-0041 New Mexico

Profile Details

NPI number 1003183187
LBN Legal business name Oldewage, Kimberley B.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2011
Last updated Nov 17th, 2011 - about 13 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.

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