Kimberly Laliberte, | |
3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | |
(215) 590-1000 | |
Not Available |
Full Name | Kimberly Laliberte |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3401 Civic Center Blvd, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508461674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0200X | Registered Nurse - Pediatrics | RN651598 (Pennsylvania) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 135471 (Pennsylvania) | Primary |
Entity Name | Childrens Anesthesiology Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689779480 PECOS PAC ID: 5799688529 Enrollment ID: O20040324000032 |
Mailing Address | Practice Location Address |
---|---|
Kimberly Laliberte, 2200 Benjamin Franklin Pkwy Apt E811, Philadelphia, PA 19130-6701 Ph: (215) 262-9524 | Kimberly Laliberte, 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 Ph: (215) 590-1000 |
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