Provider Demographics
NPI:1295058873
Name:FIELDS, KIMBERLY A
Entity type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:A
Last Name:FIELDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5162 N 8TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-3108
Mailing Address - Country:US
Mailing Address - Phone:215-329-4039
Mailing Address - Fax:215-329-4059
Practice Address - Street 1:5162 N 8TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19120-3108
Practice Address - Country:US
Practice Address - Phone:215-329-4039
Practice Address - Fax:215-329-4059
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide