Dickerson, Kimberly Whalen
Dickerson, Kimberly Whalen is an sole proprietor health care provider with primary practice located at 205 Se Wilson Ave Ste 1 , Bend OR 97702-1799. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Dickerson, Kimberly Whalen can be contacted via phone (541) 312-5849.Contact Information
Primary practice address
205 Se Wilson Ave Ste 1
Bend OR 97702-1799
Phone: (541) 312-5849
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 201042132RN | Oregon |
Profile Details
| NPI number | 1548546799 |
|---|---|
| LBN Legal business name | Dickerson, Kimberly Whalen |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2011 |
| Last updated | Nov 1st, 2011 - about 15 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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