Individual
KIMBERLY M PEZZONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 MARKET PLACE DR, OAKDALE, PA 15071-4007
(724) 281-1931
(724) 218-1934
Mailing address
651 COLLIERS WAY STE 300, WEIRTON, WV 26062-5058
(304) 797-6404
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD051032L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014505000004
—
PA
05
—
018997300
—
FL
01
—
ME128166
FLORIDA LICENSE
FL
Enumeration date
07/18/2005
Last updated
01/04/2022
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