Kimberly Edan, MD is a
Student In An Organized Health Care Education/training Program physician based in Seattle, Washington. Kimberly Edan is licensed to practice in * (Not Available) (license number ) and her current practice location is 850 Republican St # 358047, Seattle, Washington. She can be reached at her office (for appointments etc.) via phone at
(206) 221-1452.
NPI number for Kimberly Edan is 1407599335 and her current mailing address is 850 Republican St # 358047, Seattle, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407599335.
Physician's Profile
| Full Name | Kimberly Edan |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 850 Republican St # 358047, Seattle, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407599335
- Provider Enumeration Date: 04/19/2022
- Last Update Date: 07/07/2025
Medical Identifiers
Medical identifiers for Kimberly Edan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407599335 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | LL87588 (South Carolina) | Secondary |
| 208000000X | Pediatrics | MDRE.ML.70005485 (Washington) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Edan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kimberly Edan, MD
850 Republican St # 358047,
Seattle, WA 98109-4725
Ph: () - | Kimberly Edan, MD
850 Republican St # 358047,
Seattle, WA 98109-4725
Ph: (206) 221-1452 |
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