Evans, Kimberly A

Evans, Kimberly A is an individual health care provider with primary practice located at 3707 Brambleton Ave Sw Suite 2, Roanoke VA 24018. 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. Evans, Kimberly A can be contacted via phone (540) 725-7800.

Contact Information

Primary practice address
3707 Brambleton Ave Sw Suite 2 Roanoke VA 24018
Phone: (540) 725-7800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110001738 Virginia

Profile Details

NPI number 1952380859
LBN Legal business name Evans, Kimberly A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Oct 27th, 2008 - about 18 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 1952380859 NPPES
Virginia MEDICAID QMB1952380859
Virginia MEDICAID 1952380859

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