Dickerson, Kimberly Desha

Dickerson, Kimberly Desha is an individual health care provider with primary practice located at 79 Derek Ln , La Place LA 70068-8401. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Home Health. Nursing Service Providers / Home Health is her primary health care specialty. Dickerson, Kimberly Desha can be contacted via phone (985) 618-3116.

Contact Information

Primary practice address
79 Derek Ln La Place LA 70068-8401
Phone: (985) 618-3116
Fax: (985) 618-3199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 75102 Louisiana
Nursing Service Providers / Home Health 163WH0200X 7282 Louisiana

Profile Details

NPI number 1366632119
LBN Legal business name Dickerson, Kimberly Desha
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2007
Last updated Jul 18th, 2019 - about 7 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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