Etherington, Kimberly Elizabeth

Etherington, Kimberly Elizabeth is an individual health care provider with primary practice located at 1410 6Th Ave S , Clear Lake IA 50428-2606. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Etherington, Kimberly Elizabeth can be contacted via phone (641) 357-2191.

Contact Information

Primary practice address
1410 6Th Ave S Clear Lake IA 50428-2606
Phone: (641) 357-2191
Fax: (641) 357-6020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001109 Iowa

Profile Details

NPI number 1265511489
LBN Legal business name Etherington, Kimberly Elizabeth
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Jul 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265511489 NPPES
Iowa Other 45658 WELLMARK
Iowa Other 36657 WELLMARK

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