Provider Demographics
NPI:1922368265
Name:EDWARDS, KIMBERLY ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:ANN
Last Name:EDWARDS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:10 COBURG RD
Mailing Address - Street 2:STE 100
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-7478
Mailing Address - Country:US
Mailing Address - Phone:541-342-8616
Mailing Address - Fax:541-686-4814
Practice Address - Street 1:10 COBURG RD
Practice Address - Street 2:STE 100
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-7478
Practice Address - Country:US
Practice Address - Phone:541-342-8616
Practice Address - Fax:541-686-4814
Is Sole Proprietor?:No
Enumeration Date:2012-05-21
Last Update Date:2016-06-15
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Provider Licenses
StateLicense IDTaxonomies
CAA126502207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology