Provider Demographics
NPI:1043324007
Name:AARON, KIMBERLY D (MD)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:D
Last Name:AARON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-1396
Practice Address - Street 1:801 7TH AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2733
Practice Address - Country:US
Practice Address - Phone:682-885-4095
Practice Address - Fax:682-885-7499
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1824207PP0204X, 2080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
No207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10021529OtherAMERIGROUP PIN
TX132175408OtherCSHCN
TX1752016OtherUHC PIN
TX5315626OtherAETNA PIN
1669442042OtherGRP NPI NUMBER
TX9866354OtherCIGNA PIN
TX115707OtherSUPERIOR PIN
TX88628XOtherBCBSTX IND PIN
TX107087100OtherFIRSTCARE PIN
TX132175407Medicaid
TX137345813OtherCSHCN GROUP
TX00L42VOtherBCBSTX GRP PIN
TX00L42VOtherMEDICARE GROUP
TX137283112OtherMEDICAID GROUP
TX8L22309Medicare PIN
TX132175407Medicaid