Earl, Kim A

Earl, Kim A is an individual health care provider with primary practice located at 1124 S 6Th St , Springfield IL 62703-2406. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Earl, Kim A can be contacted via phone (217) 523-3143.

Contact Information

Primary practice address
1124 S 6Th St Springfield IL 62703-2406
Phone: (217) 523-3143
Fax: (217) 523-1513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209007155 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209007155 Illinois

Profile Details

NPI number 1063669497
LBN Legal business name Earl, Kim A
Credentials APRN, PMHNP, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2008
Last updated May 18th, 2020 - about 6 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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