Kimberly Jean (NPI# 1841561198, PAC ID# 3173753449) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1841561198 |
| PAC ID by PECOS | 3173753449 |
| Professional Enrollment ID | I20140826001298 |
| Full Name | Kimberly Jean |
| Organization Legal Name | CLEAN SLATE MEDICAL GROUP OF PENNSYLVANIA LLC |
| Address |
100 N Wilkes Barre Blvd Cleanslate Medical Group of Pa Wilkes Barre PA 18702-5253 |
| Phone Number | 4135842173 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8426334400 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 100 N Wilkes Barre Blvd, Cleanslate Medical Group of Pa, Wilkes Barre, PA 18702-5253 | 4135842173 | CLEAN SLATE MEDICAL GROUP OF PENNSYLVANIA LLC |
| Organization Legal Name | CLEAN SLATE MEDICAL GROUP OF PENNSYLVANIA LLC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Bohn | Family Medicine | Clean Slate Medical Group of Pennsylvania LLC | 189 E Market St, Wilkes Barre, PA 18702-5243 |
| Lori J Wain | Nurse Practitioner | Clean Slate Medical Group of Pennsylvania LLC | 329 Pine St, Williamsport, PA 17701-6216 |
| Mindi Nichols | Nurse Practitioner | Clean Slate Medical Group of Pennsylvania LLC | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 |
| Roxanne M Sides | Nurse Practitioner | Clean Slate Medical Group of Pennsylvania LLC | 3380 Memphis St, Philadelphia, PA 19134-4510 |
| Cydnee Allene Sankey-deemer | Nurse Practitioner | Clean Slate Medical Group of Pennsylvania LLC | 501 Howard Ave, Suite A202, Altoona, PA 16601-4810 |
| Ellen B Linde | Nurse Practitioner | Clean Slate Medical Group of Pennsylvania LLC | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 |
| Faizmohamed Mansuri | Internal Medicine | Clean Slate Medical Group of Pennsylvania LLC | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 |
| Jay Willner | Obstetrics/gynecology | Clean Slate Medical Group of Pennsylvania LLC | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 |
| Amber L Petty | Nurse Practitioner | Clean Slate Medical Group of Pennsylvania LLC | 329 Pine St, Williamsport, PA 17701-6216 |
| Caitlyn Rivero | Physician Assistant | Clean Slate Medical Group of Pennsylvania LLC | 1020 W Lackawanna Ave, Scranton, PA 18504-2052 |
| Street Address |
100 N WILKES BARRE BLVD CLEANSLATE MEDICAL GROUP OF PA |
| City | WILKES BARRE |
| State | PA |
| Zip | 18702-5253 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cari M Tellis | Qualified Speech Language Pathologist | 100 N Wilkes Barre Blvd, Suite 201, Wilkes Barre, PA 18702-5255 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Elizabeth J Sokach | Family Practice | Rural Health Corporation of Northeastern Pennsylvania | 1084 Route 315, Wilkes Barre, PA 18702-1606 |
| Raymond J Joseph | Internal Medicine | 165 Carey Ave, Wilkes Barre, PA 18702-2112 | |
| Sharon Miller | Physical Therapy | Northeast Physical Therapy, PC | 216 N River St, Suite 101, Wilkes Barre, PA 18702-2517 |
| Marianne Turosky | Physical Therapy | Northeast Physical Therapy, PC | 216 N River St, Suite 101, Wilkes Barre, PA 18702-2517 |
| Elizabeth A Gernhardt | Family Medicine | 300 Courtright St, Wilkes Barre, PA 18702-2526 | |
| Alexis H Felsman | Obstetrics/gynecology | Ob-gyn Associates, LLC | 545 N River St, Wilkes Barre, PA 18702-2600 |
| Jaromir Kohout | General Surgery | Commonwealth Physician Network LLC | 545 N River St, Suite 130, Wilkes Barre, PA 18702-2600 |
| Maria C Escano | General Surgery | Commonwealth Physician Network LLC | 545 N River St, Suite 130, Wilkes Barre, PA 18702-2600 |
| Lori Delgaudio | Obstetrics/gynecology | Ob-gyn Associates, LLC | 545 N River St, Wilkes Barre, PA 18702-2600 |
| Akram Zalatimo | Obstetrics/gynecology | 545 N River St, Suite 110, Wilkes Barre, PA 18702-2600 | |
| Find all physicians in zip 18702 | |||
| City | WILKES BARRE |
| Zip Code | 18702 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WILKES BARRE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kimberly Jean.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.