NPI 1174585517

Kimberly Jean Radai, PAC

Practitioner Physician Assistant Fallon, NV

Practice location

Address: 1020 New River Pkwy STE 200, Fallon, NV 89406
Phone: (775) 428-2633
Fax: (775) 428-2630
Mailing address: PO Box 3046, Malvern, PA 19355-0746

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA880 (NV)

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Registry record

NPI: 1174585517
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Apr 2006
Record last updated: 22 Jun 2018

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.