Fitzgerald, Kimani
Fitzgerald, Kimani is an individual health care provider with primary practice located at 1000 Centennial Dr , East Peoria IL 61611-4916. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Fitzgerald, Kimani can be contacted via phone (309) 324-0880.Contact Information
Primary practice address
1000 Centennial Dr
East Peoria IL 61611-4916
Phone: (309) 324-0880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209.029516 | Illinois |
Profile Details
| NPI number | 1740011154 |
|---|---|
| LBN Legal business name | Fitzgerald, Kimani |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2024 |
| Last updated | Aug 8th, 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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