Bundridge, Kimberly Jean

Bundridge, Kimberly Jean is an individual health care provider with primary practice located at 3500 Kolbe Rd Palliative Care Dept, Lorain OH 44053-1632. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bundridge, Kimberly Jean can be contacted via phone (440) 934-1458.

Contact Information

Primary practice address
3500 Kolbe Rd Palliative Care Dept Lorain OH 44053-1632
Phone: (440) 934-1458
Fax: (440) 960-4922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA .17589-NP Ohio

Profile Details

NPI number 1073993317
LBN Legal business name Bundridge, Kimberly Jean
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2015
Last updated Sep 11th, 2015 - about 11 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 1073993317 NPPES
Ohio MEDICAID 0207207

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