Active NPIIndividual provider

Kimberly J Deery, DO

Pediatrics in Gibbsboro, New Jersey

NPI Number1992081392
Practice location
63 N Lakeview Dr, Suite 202, Gibbsboro, NJ 08026-1026
Fax
856-782-1667
Last updated
June 11, 2015

Kimberly Jeanne Deery is a Pediatrics based in Gibbsboro, NJ. Kimberly Jeanne Deery practices in Gibbsboro, NJ and has the professional credentials of DO. The NPI Number for Kimberly Jeanne Deery is 1992081392 and holds a License No. 25MB09678700 (NJ). The current practice location address for Kimberly Jeanne Deery is 63 N Lakeview Dr, Suite 202, Gibbsboro, NJ 08026-1026 and can be reached out via phone at 856-435-6000 and via fax at 856-782-1667.

Provider Profile Details

NPI Number
1992081392
Provider Name
Kimberly Jeanne Deery
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
63 N Lakeview Dr, Suite 202, Gibbsboro, NJ 08026-1026
Phone Number
856-435-6000
Fax Number
856-782-1667
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Other Names
-- Kimberly Jeanne Young (Former Name)
Provider Enumeration Date
October 30, 2011
Last Update Date
June 11, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 N Lakeview Dr
Suite 202
Gibbsboro, NJ 08026-1026
Zip
08026-1026
Phone Number
856-435-6000
Fax Number
856-782-1667
Gibbsboro, NJ 08026Get directions →

Provider Business Mailing Address Details

Address
63 N Lakeview Dr
Suite 202
Gibbsboro, NJ 08026-1026
City
Gibbsboro
State
NJ
Zip
08026-1026
Phone Number
856-435-6000
Fax Number
856-782-1667

License Information

License Number
25MB09678700
License State
NJ
Taxonomy
Pediatrics · 208000000X · 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 Kimberly J Deery, DO?

The NPI number of Kimberly J Deery, DO is 1992081392. It was assigned on October 30, 2011 and is currently active in the NPPES registry.

What is the specialty of Kimberly J Deery, DO?

Kimberly J Deery, DO is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MB09678700.

Where does Kimberly J Deery, DO practice?

The practice location is 63 N Lakeview Dr, Suite 202, Gibbsboro, NJ 08026-1026. The office can be reached at 856-435-6000 (phone) or 856-782-1667 (fax).

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 1992081392 directly on the NPPES registry website.

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