Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 250943 | NY |
N | 207V00000X | Obstetrician & Gynecologist | MD043742L | PA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 250943 | NY |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD043742L | PA |
NPI | 1063426195 |
---|---|
Provider Name | Dr. Kimberly Ann Heller |
First Address | Lagrangeville, NY 12540-5108 |
Second Address | Poughkeepsie, NY 12601-4719 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 06/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001185017 | (05) | PA |
01105402 | CAPITAL BLUE CROSS-WMG (01) | PA |
03068444 | (05) | NY |
0399570000 | AMERIHEALTH 65 PA (01) | PA |
1512312 | GATEWAY-WMG (01) | PA |
20008306 | AMERIHEALTH MERCY-WMG (01) | PA |
32649 | JOHNS HOPKINS (01) | PA |
346376 | MAMSI-WMG (01) | PA |
39734 | GEISINGER (01) | PA |
403727800 | (05) | MD |
4121547 | AETNA (01) | PA |
544155 | CAREFIRST MD BCBS (01) | MD |
577861 | HIGHMARK BLUE SHIELD (01) | PA |
81786 | UNISON-WMG (01) | PA |
E30065 | (02) | PA |