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  5. Kimberley B. Oldewage PA-C
Female

Kimberley B. Oldewage PA-C

Physician Assistant in Rio Rancho, NM(View on Map)

Full Name

Kimberley B. Oldewage PA-C

NPI Number

1003183187

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/17/2011

Specialties

(Taxonomies)

Name

Physician Assistant

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

New Mexico

License Number

PA2011-0041

Contact
Information

Purpose

Mailing
Location

Address

1350 JACKIE ROAD STE 101
1350 JACKIE ROAD STE 101

City

Rio Rancho
Rio Rancho

State

NM
NM

Postal Code

87124-1519
87124-1519

Country

US
US

Telephone Number

(505) 892-7518
(505) 892-7518

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/17/2011

Provider Address

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