Individual provider · Type 1 NPI

Kimberly Hasenboehler, PA

Surgical Physician Assistant · Pikesville, MD

NPI number 1669552923 Active

Practice location

8923 Grummore Cir
Pikesville, MD 21208-1427

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XC04626 (MD)

Surgical Physician Assistant: Definition to come...

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About NPI 1669552923

Kimberly Hasenboehler, PA's National Provider Identifier is 1669552923, issued on Oct 17, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pikesville, MD. The record was last updated on Nov 2, 2011.