KIMBERLY ANN KABERNAGEL (NPI# 1518301522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518301522 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN KABERNAGEL |
| Credential | D.O |
| Practice Address |
12 Lily Lake Rd Waverly PA 18471-0036 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5705631112 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2013-04-21 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS017920 | PA | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
OS017920 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
12 LILY LAKE RD |
| City | WAVERLY |
| State | PA |
| Zip Code | 18471-0036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366887846 | Benjamin Kum | Emergency Medicine | 100 Lily Lake Road, Waverly, PA 18471 | 2013-05-09 |
| 1225235971 | Thomas William Decker | Psychologist | 1318 N. Abington Rd., Waverly, PA 18471 | 2007-06-27 |
| 1073526240 | Timothy P. Braatz | Radiology | 1002 Oakford Woods, Waverly, PA 18471 | 2006-08-15 |
| 1255308094 | Northeast Medical & Oxygen | Skilled Nursing Facility | 2 Glenview Lane, Northeast Medical & Oxygen, Waverly, PA 18471 | 2006-03-01 |
| 1336113018 | John T. Belford | Physician Assistant | Lily Lake Rd, Waverly, PA 18471 | 2006-02-17 |
| 1003089046 | Barbara Brundige Decker | Counselor | 1318 N. Abington Rd., Waverly, PA 18471 | 2008-04-10 |
| 1942336391 | Marworth | Clinic/Center | Lily Lake Rd, Waverly, PA 18471 | 2007-02-27 |
| 1659444388 | Marworth | Substance Abuse Rehabilitation Facility | Lily Lake Rd, Waverly, PA 18471 | 2006-11-17 |
| 1801968060 | William Douglas Poray | Social Worker | Lily Lake Rd, Waverly, PA 18471 | 2006-11-14 |
| 1962454207 | David J. Withers | Emergency Medicine | Lily Lake Rd, Waverly, PA 18471 | 2006-05-16 |
| Find all providers in zip 18471 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568953651 | Tiffany Renee Bagwell | Family Medicine | 401 Gregson Pl, Waverly, TN 37185-2925 | 2018-05-23 |
| 1326574062 | Nicole Rex | Family Medicine | 135 Cedar Hill Dr, Waverly, OH 45690-9142 | 2017-05-01 |
| 1225224405 | Sumita Aggarwal | Family Medicine | 227 Valley View Dr., Waverly, OH 45690 | 2007-09-20 |
| 1225248701 | Bristol Village Homes | Family Medicine | 621 E 5th St, Waverly, OH 45690-1505 | 2007-05-23 |
| 1386794816 | Lawrence Richard Jackson Jr. | Family Medicine | 102 Hillwood Dr, Waverly, TN 37185 | 2007-01-10 |
| 1548379381 | Terry A Johnson | Family Medicine | 715 W Emmitt Ave, Waverly, OH 45690-1015 | 2006-08-29 |
| 1437176286 | Harry T Kittaka | Family Medicine | 12340 State Route 104, Waverly, OH 45690-8968 | 2006-07-17 |
| 1053390906 | George Coleman | Family Medicine | 344 W Main St, Waverly, VA 23890-3235 | 2006-01-10 |
| 1467430181 | Timothy C Horrigan | Family Medicine | 217 20th St Nw, Waverly, IA 50677 | 2006-01-03 |
| 1013912088 | Coffey County Medical Center | Family Medicine | 302 Pearson Ave, Waverly, KS 66871-9676 | 2005-06-16 |
| Find all providers in WAVERLY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.