KIM LOUISE FUDGE PA-C
NPI 1770732349
Physician Assistant in Philadelphia, PA

Active since September 18, 2008
ERIE AVE AT FRONT ST, ST CHRISTOPHER'S HOSPITAL FOR CHILDREN, PHILADELPHIA, PA 19134(215) 427-8190(215) 427-4638 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kim Louise Fudge Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM LOUISE FUDGE PA-C (NPI 1770732349) is an individual physician assistant in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA-002885-L) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1770732349
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIM LOUISE FUDGECredential: PA-C
Location AddressERIE AVE AT FRONT ST, ST CHRISTOPHER'S HOSPITAL FOR CHILDRENPhiladelphia, PA 19134
Mailing AddressErie Ave At Front St, St Christophers Hospital For ChildrenPhiladelphia, PA 19027-1095 · (215) 427-8190 · Fax (215) 427-4638
Fax(215) 427-4638
Sole ProprietorNo
Enumeration DateSeptember 18, 2008
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
NPI 1770732349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PA · MA-002885-L
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
ERIE AVE AT FRONT ST, Philadelphia, PA 19134

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Nephrology)
ERIE AVE AT FRONT ST
PHILADELPHIA, PA 19134
Pharmacy (Community/Retail Pharmacy)
ERIE AVE AT FRONT ST
PHILADELPHIA, PA 19134
Pediatrics (Neonatal-Perinatal Medicine)
ERIE AVE AT FRONT ST
PHILADELPHIA, PA 19134
Pediatrics (Pediatric Endocrinology)
ERIE AVE AT FRONT ST, SCPA ENDOCRINOLOGY
PHILADELPHIA, PA 19134
Pediatrics (Pediatric Hematology-Oncology)
ERIE AVE AT FRONT ST, DEPARTMENT OF HEMATOLOGY
PHILADELPHIA, PA 19134
Specialist
ERIE AVE AT FRONT ST
PHILADELPHIA, PA 19134

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Fudge's NPI number?

The NPI number for Kim Fudge is 1770732349. It was assigned to this individual provider in the NPPES registry on September 18, 2008.

Where is Kim Fudge located?

Kim Fudge practices at Erie Ave At Front St St Christopher's Hospital For Children, Philadelphia, PA 19134. The listed phone number is (215) 427-8190.

What is Kim Fudge's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kim Fudge was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.