Provider Demographics
NPI:1679570881
Name:ALLMAN, KIMBERLY ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:ANNE
Last Name:ALLMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KIMBERLY
Other - Middle Name:ANNE
Other - Last Name:MOSIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1 CESSNA BLVD BLDG C5
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67215-1400
Mailing Address - Country:US
Mailing Address - Phone:316-517-4000
Mailing Address - Fax:316-517-4040
Practice Address - Street 1:5 CESSNA BLVD BLDG C5
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67215-1400
Practice Address - Country:US
Practice Address - Phone:316-517-4000
Practice Address - Fax:316-517-4040
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0429811207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSH82543Medicare UPIN
KS102781Medicare ID - Type Unspecified