Dr. Kimberly Anne Molik
Pediatric Surgery
800 E Carpenter St
Springfield
, Illinois 62702-5324
Dr. Kimberly Anne Molik
Pediatric Surgery
800 E Carpenter St
Springfield
, Illinois 62702-5324
(217) 757-6536
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Dr. Kimberly Anne Molik
- 800 E Carpenter St
- Springfield, IL
- Zip : 62702-5324
- Fax : (217) 757-6536
- Phone : (217) 757-6535
Second Address
- Dr. Kimberly Anne Molik
- 800 E Carpenter St
- Springfield, IL
- Zip : 62702-5324
- Fax : (217) 757-6536
- Phone : (217) 757-6535
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Is Dr. Kimberly Anne Molik a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | 036136401 | IL |
National Provider Identifier
| NPI | 1164422622 |
|---|---|
| Provider Name | Dr. Kimberly Anne Molik |
| First Address | Springfield, IL 62702-5324 |
| Second Address | Springfield, IL 62702-5324 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2005 |
| Last Update Date | 28/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200330000A | (05) | KS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.