MRS. KIMBERLY RENEE CONLEY PA-C NPI 1659670198

NPI Information

NPI: 1659670198
Provider Name: MRS. KIMBERLY RENEE CONLEY, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: SOMAGEN HEALTHCARE, INC.

PECOS Registration: Yes

Address:
34800 BOB WILSON DR
MILITARY HEALTH CLINIC BUILDING 6
SAN DIEGO, CA
ZIP 92134
Phone: (619) 532-8422
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MRS. Kimberly Renee Conley, PA-C is a medical physician assistant in San Diego, CA with 14 years of experience. MRS. Kimberly Renee Conley, PA-C NPI is 1659670198. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

34800 BOB WILSON DR
MILITARY HEALTH CLINIC BUILDING 6
SAN DIEGO, CA
ZIP 92134-098
Phone: (619) 532-8422

The NPI 1659670198 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/23/2011 and was last updated on 5/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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