KIMBERLY UDELL D.O. NPI 1619059201

NPI Information

NPI: 1619059201
Provider Name: KIMBERLY UDELL, D.O.
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

PECOS Registration: Yes

Address:
3602 MATLOCK RD STE 206
ARLINGTON, TX
ZIP 76015
Phone: (817) 468-1506
Get Directions

Kimberly Udell, D.O. is a gynecology obstetrics gynecology in Arlington, TX. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee Kimberly Udell, D.O. NPI is 1619059201. 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:

3602 MATLOCK RD STE 206
ARLINGTON, TX
ZIP 76015-600
Phone: (817) 468-1506
Fax: (817) 468-1520

The NPI 1619059201 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 10/20/2006 and was last updated on 5/29/2019.

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	207VG0400X	Obstetrics & Gynecology	Gynecology	L1225	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	651198393	OTHER	TEXAS	EMPLOYER TX ID NUMBER
2	8P5630	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
3	10029987	OTHER	TEXAS	AMERIGROUP
4	165666201	MEDICAID	TEXAS

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: 4/28/2024

NPI Synchronization or Removal

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