Edwards, Kimberly K

Edwards, Kimberly K is an individual health care provider with primary practice located at 85 N Grand Ave , Fort Thomas KY 41075-1793. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Edwards, Kimberly K can be contacted via phone (859) 572-3618.

Contact Information

Primary practice address
85 N Grand Ave Fort Thomas KY 41075-1793
Phone: (859) 572-3618
Fax: (859) 572-2326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10003082A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003842 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2473 Kentucky

Profile Details

NPI number 1740616010
LBN Legal business name Edwards, Kimberly K
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2013
Last updated Jun 21st, 2024 - about 2 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 1740616010 NPPES
Ohio MEDICAID 0093322
Ohio MEDICAID 7100603110
Ohio MEDICAID 300044877

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