KIMBERLY WALL LEDERMAN M.D. NPI 1770682379

NPI Information

  • NPI: 1770682379
  • Provider Name: KIMBERLY WALL LEDERMAN, M.D.
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • Address: 6420 CLAYTON RD
    RICHMOND HEIGHTS, MO
    ZIP 63117
  • Phone: (314) 768-8360

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NPI Details

Kimberly Wall Lederman, M.D. is an emergency medicine in Richmond Heights, MO. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Kimberly Wall Lederman, M.D. NPI is 1770682379. 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:

6420 CLAYTON RD
RICHMOND HEIGHTS, MO
ZIP 63117-811
Phone: (314) 768-8360

The enumeration date for this NPI number is 9/21/2006 and was last updated on 8/30/2013.

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
1207P00000XEmergency Medicine114588MISSOURIYes

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
1G77550MEDICARE UPINMISSOURI
2965915198MEDICARE PINMISSOURI
3203801717MEDICAIDMISSOURI

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: 11/21/2025

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