Dent, Kimberly Jo

Dent, Kimberly Jo is an individual health care provider with primary practice located at 100 Mercy Way Ste 450, Joplin MO 64804-4524. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dent, Kimberly Jo can be contacted via phone (417) 627-8377.

Contact Information

Primary practice address
100 Mercy Way Ste 450 Joplin MO 64804-4524
Phone: (417) 627-8377
Fax: (417) 627-8378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2013032478 Missouri

Profile Details

NPI number 1477988277
LBN Legal business name Dent, Kimberly Jo
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2013
Last updated Mar 17th, 2016 - about 10 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 1477988277 NPPES
Kansas MEDICAID 201083650A
Kansas MEDICAID 1477988277
Kansas MEDICAID 200523270A
Kansas Other P01265331

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