Foncham Bradley, Kimberly Ross

Foncham Bradley, Kimberly Ross is an individual health care provider with primary practice located at 2940 S Us Highway 1 Ste C11, Fort Pierce FL 34982-8143. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Foncham Bradley, Kimberly Ross can be contacted via phone (772) 466-6855.

Contact Information

Primary practice address
2940 S Us Highway 1 Ste C11 Fort Pierce FL 34982-8143
Phone: (772) 466-6855
Fax: (772) 464-4963
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 9187855 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 9187855 Florida

Profile Details

NPI number 1750773255
LBN Legal business name Foncham Bradley, Kimberly Ross
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2015
Last updated Feb 16th, 2022 - about 4 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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