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

Mrs. Kimberly Laverne Obidiegwu, PA

Individual provider Physician Assistant · NPI 1083228738

Mrs. Kimberly Laverne Obidiegwu, PA is a Physician Assistant in Fresno, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1207 E Herndon Ave
Fresno, CA 93720-3235
Phone: (559) 432-4303
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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 PENDING (CA)
Physician Assistant Taxonomy 363A00000X (CA)

Record details

NPI number1083228738
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 1, 2020
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020

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