Derezil, Kimberly
Derezil, Kimberly is an individual health care provider with primary practice located at 1401 Easton Ave , Bethlehem PA 18018-2618. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Derezil, Kimberly can be contacted via phone (862) 755-9075.Contact Information
Primary practice address
1401 Easton Ave
Bethlehem PA 18018-2618
Phone: (862) 755-9075
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD452662 | Pennsylvania |
Profile Details
| NPI number | 1841561198 |
|---|---|
| LBN Legal business name | Derezil, Kimberly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2012 |
| Last updated | Aug 21st, 2022 - 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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