Individual ProviderKimberly KashnerPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3400 Spruce St, Philadelphia, PA 19104-4238(215) 615-5858PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly Kashner is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1386190346Provider TypeIndividualFull NameKashner, KimberlyGenderFemaleSole ProprietorNoEnumeration Date8/30/2016Last Updated8/30/2016Contact InformationPractice LocationPractice Address3400 Spruce St, Philadelphia, PA 19104-4238Phone(215) 615-5858FaxUnlisted FaxMailing LocationMailing Address3400 Spruce St, Philadelphia, PA 19104-4238PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA058433Pennsylvania