Individual ProviderKimberly A PedigoPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address759 Chestnut St, Springfield, MA 01199-1001(413) 794-3360PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly A Pedigo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1598856437Provider TypeIndividualFull NamePedigo, Kimberly ACredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date9/27/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address759 Chestnut St, Springfield, MA 01199-1001Phone(413) 794-3360Fax(413) 794-3256Mailing LocationMailing Address759 Chestnut St, Springfield, MA 01199-1001Phone(413) 794-3360Fax(413) 794-3256Provider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense1574Massachusetts