Provider Demographics
NPI:1073913596
Name:FELTNER, KIMBERLY (DO)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:
Last Name:FELTNER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 DIAMOND ROCK HILL RD
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-9529
Mailing Address - Country:US
Mailing Address - Phone:484-819-0411
Mailing Address - Fax:484-902-0260
Practice Address - Street 1:2050 DIAMOND ROCK HILL RD
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-9529
Practice Address - Country:US
Practice Address - Phone:484-819-0411
Practice Address - Fax:484-902-0260
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-03
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS018041208M00000X
PAOT015776207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist