Active NPIIndividual provider

Mrs. Kimberly A Hagen, PA

Physician Assistant in Moorestown, New Jersey

NPI Number1811555709
Practice location
728 Marne Hwy Ste 200A, Moorestown, NJ 08057-3128
Fax
—
Last updated
August 16, 2024

Kimberly Ann Hagen is a Physician Assistant based in Moorestown, NJ. Kimberly Ann Hagen practices in Moorestown, NJ and has the professional credentials of PA. The NPI Number for Kimberly Ann Hagen is 1811555709 and holds a License No. 1163559 (NJ). The current practice location address for Kimberly Ann Hagen is 728 Marne Hwy Ste 200A, Moorestown, NJ 08057-3128 and can be reached out via phone at 856-291-8855.

Provider Profile Details

NPI Number
1811555709
Provider Name
Kimberly Ann Hagen
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
728 Marne Hwy Ste 200A, Moorestown, NJ 08057-3128
Phone Number
856-291-8855
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 5, 2019
Last Update Date
August 16, 2024
Certification Date
August 16, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
728 Marne Hwy Ste 200A
Moorestown, NJ 08057-3128
Zip
08057-3128
Phone Number
856-291-8855
Moorestown, NJ 08057Get directions →

Provider Business Mailing Address Details

Address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
City
Marlton
State
NJ
Zip
08053-4197
Phone Number
856-355-0340

License Information

License Number
1163559
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kimberly A Hagen, PA?

The NPI number of Mrs. Kimberly A Hagen, PA is 1811555709. It was assigned on June 5, 2019 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kimberly A Hagen, PA?

Mrs. Kimberly A Hagen, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 1163559.

Where does Mrs. Kimberly A Hagen, PA practice?

The practice location is 728 Marne Hwy Ste 200A, Moorestown, NJ 08057-3128. The office can be reached at 856-291-8855 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811555709 directly on the NPPES registry website.

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