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Contact Information

KIMBERLY BARDALL
100 N ACADEMY AVE
DANVILLE, PA17822-0001
 Phone: 570-214-4745
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KIMBERLY BARDALL · (Female)

NPI Number 1619714516
Status Active
Credentials
Entity Individual
Enumeration date 07/09/2024
Last updated 10/31/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • PA License # SP030028
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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