Brabentz, Kimberly Ann

Brabentz, Kimberly Ann is an individual health care provider with primary practice located at 17218 N 72Nd Dr Ste 100 , Glendale AZ 85308-8581. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Family Medicine. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Brabentz, Kimberly Ann can be contacted via phone (623) 334-8671.

Contact Information

Primary practice address
17218 N 72Nd Dr Ste 100 Glendale AZ 85308-8581
Phone: (623) 334-8671
Fax: (623) 334-8675
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2652 Arizona
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2652 Arizona

Profile Details

NPI number 1437120300
LBN Legal business name Brabentz, Kimberly Ann
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Nov 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437120300 NPPES
Arizona MEDICAID 523384

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