Provider Demographics
NPI:1831321876
Name:ARKEBAUER, KIMBERLY JOAN (DO)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:JOAN
Last Name:ARKEBAUER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:KIMBERLY
Other - Middle Name:JOAN
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1 MEDICAL CENTER BLVD
Mailing Address - Street 2:SUITE 334
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-3902
Mailing Address - Country:US
Mailing Address - Phone:610-872-7660
Mailing Address - Fax:610-876-2628
Practice Address - Street 1:1 MEDICAL CENTER BLVD
Practice Address - Street 2:SUITE 334
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-3902
Practice Address - Country:US
Practice Address - Phone:610-872-7660
Practice Address - Fax:610-876-2628
Is Sole Proprietor?:No
Enumeration Date:2009-08-09
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT012980207V00000X
PAOS016978207V00000X
DEC2-0010942207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology