Kimberly Edmonds, PA-C
Physician Assistant in Stayton, OR. Individual provider (NPI-1).
NPI number1760104855
StatusActive
Last updated in NPPESJan 26, 2024
Details
- NPI
- 1760104855
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Edmonds
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2022
- Certification date
- Jan 26, 2024
- Last updated
- Jan 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA218013 | OR | Yes |
Practice location
1401 N 10th Ave Ste 100Stayton, OR 97383-1486
Phone 503-769-6386 · Fax 503-769-5647
Mailing address
4777 Whitman Cir NeSalem, OR 97305-3600
Phone 530-680-1003
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physician Assistant providers in Stayton, OR
- Taylor Anne Abdala, PANPI 1528694221
- Ian Cavigli, PA-CNPI 1003624545
- Kailey Anne ChristisonNPI 1861153942
- Fatima Janeth Dealy, PA-CNPI 1891068169
- Samantha Pacheco, PA-CNPI 1598139917
- Kelsey Marie Porter, PA-CNPI 1427867704
- Jessica I Schlump, PA-CNPI 1821134933
- Christian Lee Spencer, P.A.NPI 1023397940
- Eugene Oleg Vakhovsky, PA-CNPI 1518637016
All 10 Physician Assistant providers in Stayton · All 239 providers in Stayton
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.