Kimberly Princess Rader, LPN is a
Licensed Practical Nurse based in Dade City, Florida. Kimberly Princess Rader is licensed to practice in Florida (license number PN1059411) and her current practice location is
37944 Church Ave, Dade City, Florida. She can be reached at her office (for appointments etc.) via phone at
(352) 518-2000.
NPI number for Kimberly Princess Rader is 1083834907 and her current mailing address is Po Box 232, Dade City, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083834907.
Provider's Profile
Full Name | Kimberly Princess Rader |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 37944 Church Ave, Dade City, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083834907
- Provider Enumeration Date: 04/26/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Kimberly Princess Rader such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083834907 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PN1059411 (Florida) | 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 Princess Rader 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 Princess Rader, LPN Po Box 232, Dade City, FL 33526 Ph: (352) 518-2000 | Kimberly Princess Rader, LPN 37944 Church Ave, Dade City, FL 33525 Ph: (352) 518-2000 |
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