Endres, Kim S.
Endres, Kim S. is an sole proprietor health care provider with primary practice located at 2002 Medical Pkwy Ste 430 , Annapolis MD 21401-3263. 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. Endres, Kim S. can be contacted via phone (410) 571-2946.Contact Information
Primary practice address
2002 Medical Pkwy Ste 430
Annapolis MD 21401-3263
Phone: (410) 571-2946
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | Maryland |
Profile Details
| NPI number | 1184602724 |
|---|---|
| LBN Legal business name | Endres, Kim S. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Feb 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184602724 | NPPES |
| Maryland | MEDICAID | 777284000 |
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