Provider Demographics
NPI:1245441765
Name:GARCIA, KIMBERLY KEPNER (DNP, CRNP, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:KEPNER
Last Name:GARCIA
Suffix:
Gender:F
Credentials:DNP, CRNP, FNP-BC
Other - Prefix:DR
Other - First Name:KIMBERLY
Other - Middle Name:KEPNER
Other - Last Name:ATTWOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, CRNP
Mailing Address - Street 1:1411 UNION BLVD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18109-2423
Mailing Address - Country:US
Mailing Address - Phone:610-433-6181
Mailing Address - Fax:610-433-5124
Practice Address - Street 1:1411 UNION BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18109-2423
Practice Address - Country:US
Practice Address - Phone:484-695-2886
Practice Address - Fax:610-433-5124
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN525332L163W00000X
PASP009448363LF0000X
PASP022038163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1027801280002Medicaid