Provider Demographics
NPI:1164590345
Name:NALDA, KIMBERLY OWENS (MD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:OWENS
Last Name:NALDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5590 KIRKWOOD HWY
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-5002
Mailing Address - Country:US
Mailing Address - Phone:302-565-4799
Mailing Address - Fax:302-342-8855
Practice Address - Street 1:5590 KIRKWOOD HWY
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-5002
Practice Address - Country:US
Practice Address - Phone:302-565-4799
Practice Address - Fax:302-342-8855
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0009364207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine