| Doctor Name: | KIMBERLY ANN MADDEN |
| NPI Number: | 1437586476 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, RN |
| License Number: | RN-77939 |
| Business Practice Address: | 125 Main Street Dillingham, AK - 995761489 |
| Business Phone Number: | 9078425981 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1489, C/o State Of Alaska-public Health Nursing DILLINGHAM |
| State: | AK |
| Postal Code: | 995761489 |
| Phone Number: | 9078425981 |
| Fax Number: | 9078424396 |
| NPI Enumeration Date: | 10/05/2013 |
| NPI Last Update Date: | 12/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | RN-77939 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |