Active NPI
Kimberley Edens, DVM
- Veterinarian
- Louisville, KY
National Provider Identifier
1508237009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- NS-KY-2815
- Practice address
- 1311 Durrett LN
Louisville, KY 40213-2009 - Phone
- (502) 361-2611
- NPI assigned
- Oct 10, 2015
- Last updated
- Oct 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | NS-KY-2815 | KY | Primary |
Addresses
Primary practice location
1311 Durrett LN
Louisville, KY 40213-2009
Mailing address
1311 Durrett LN
Louisville, KY 40213-2009
Phone (502) 361-2611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NS-KY-2815 | KY | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444435200000",
"number": "1508237009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 DURRETT LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402132009",
"telephone_number": "502-361-2611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 DURRETT LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402132009",
"telephone_number": "502-361-2611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDENS",
"first_name": "KIMBERLEY",
"credential": "DVM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-10",
"last_updated": "2015-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "KY",
"license": "NS-KY-2815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.