| Doctor Name: | KIMBERLY DIANE ACKERMAN |
| NPI Number: | 1013218023 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN,BSN |
| License Number: | RN505100L |
| Business Practice Address: | 1600 Peninsula Dr Suite 19 Erie, PA - 165054261 |
| Business Phone Number: | 8148330221 |
| Business Fax Number: | 8148333346 |
| Mailing Address: | 1600 Peninsula Dr, Suite 19 ERIE |
| State: | PA |
| Postal Code: | 165054261 |
| Phone Number: | 8148330221 |
| Fax Number: | 8148333346 |
| NPI Enumeration Date: | 11/07/2010 |
| NPI Last Update Date: | 11/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA2000X |
| License Number: | RN505100L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Administrator |
| Taxonomy Definition: | |