Kimberly Anne Eisenstein, MD | |
2707 W Edgewood Dr Ste 102, Jefferson City, MO 65109-5886 | |
(573) 761-1830 | |
(573) 761-1829 |
Full Name | Kimberly Anne Eisenstein |
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Gender | Female |
Speciality | Dermatology - Pediatric Dermatology |
Location | 2707 W Edgewood Dr Ste 102, Jefferson City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1821356759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207N00000X | Dermatology | 2017005188 (Missouri) | Secondary |
207NP0225X | Dermatology - Pediatric Dermatology | 2017005188 (Missouri) | Primary |
Entity Name | The Curators Of The University Of Missouri |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
Mailing Address | Practice Location Address |
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Kimberly Anne Eisenstein, MD Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300 | Kimberly Anne Eisenstein, MD 2707 W Edgewood Dr Ste 102, Jefferson City, MO 65109-5886 Ph: (573) 761-1830 |
Jordan Elizabeth Parker, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2707 W Edgewood Dr Ste 102, Jefferson City, MO 65109 Phone: 573-761-1830 Fax: 573-761-1829 | |
Dr. Stephanie Hose, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-7719 Fax: 573-635-2156 | |
Victoria Gunn, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1620 Southridge Dr Ste B, Jefferson City, MO 65109 Phone: 573-761-1830 Fax: 573-761-1829 |