Carney, Kimberly J.

Carney, Kimberly J. is an individual health care provider with primary practice located at 1000 Se 13Th Ct , Bentonville AR 72712-7857. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Carney, Kimberly J. can be contacted via phone (479) 273-9056.

Contact Information

Primary practice address
1000 Se 13Th Ct Bentonville AR 72712-7857
Phone: (479) 273-9056
Fax: (479) 273-6937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A01870 Arkansas
Nursing Service Providers / Gerontology 163WG0600X R72705 Arkansas

Profile Details

NPI number 1679501027
LBN Legal business name Carney, Kimberly J.
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jun 4th, 2008 - about 18 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 1679501027 NPPES
Arkansas MEDICAID 160045758

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