Individual
KIMBERLY JEAN RADAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1020 NEW RIVER PKWY STE 200, FALLON, NV 89406
(775) 428-2633
(775) 428-2630
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(775) 428-2633
(775) 428-2630
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA880
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174585517
—
NV
Enumeration date
04/03/2006
Last updated
06/22/2018
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