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 31 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