Kimberley B. Oldewage, PA-C

NPI #1003183187 in Rio Rancho, New Mexico

Provider Information

NPI Number: 1003183187
Entity Type: Individual
Name: Kimberley B. Oldewage, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 17, 2011
Last Updated: Nov 17, 2011

Practice Location

Address: 1350 JACKIE ROAD STE 101
Address 2: WESTSIDE FAMILY MEDICINE
City: Rio Rancho
State: New Mexico
ZIP Code: 87124-1519
Phone: (505) 892-7518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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