Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kim Louise Fudge, PA-C

Individual provider Physician Assistant · NPI 1770732349

Kim Louise Fudge, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.

Licensed in
PA
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Partly verified

Some contact details are missing from the federal record.

Erie Ave At Frnt ST ST Christopher's Hospital For Children
Philadelphia, PA 19134
Phone: (215) 427-8190
Fax: (215) 427-4638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA-002885-L (PA)

Record details

NPI number1770732349
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 18, 2008
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024

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