NPI 1003183187

Kimberley B. Oldewage, PAC

Practitioner Physician Assistant Rio Rancho, NM

Practice location

Address: 1350 Jackie Road STE 101 Westside Family Medicine, Rio Rancho, NM 87124-1519
Phone: (505) 892-7518
Fax: (505) 892-9092

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA2011-0041 (NM)

Other Physician Assistant providers in New Mexico →

Registry record

NPI: 1003183187
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2011
Record last updated: 17 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.