Eidson, Kimberly M
Eidson, Kimberly M is an individual health care provider with primary practice located at 3238 Capital Ave Sw , Battle Creek MI 49015-4302. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Other Service Providers / Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Eidson, Kimberly M can be contacted via phone (269) 979-6432.Contact Information
Primary practice address
3238 Capital Ave Sw
Battle Creek MI 49015-4302
Phone: (269) 979-6432
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 4704265679 | Michigan |
| Other Service Providers / Midwife | 176B00000X | 4704265679 | Michigan |
Profile Details
| NPI number | 1336797794 |
|---|---|
| LBN Legal business name | Eidson, Kimberly M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2019 |
| Last updated | Jun 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336797794 | NPPES |
| Michigan | MEDICAID | 1336797794 |
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