Ifill, Kimberly Anne
Ifill, Kimberly Anne is an individual health care provider with primary practice located at 3399 Pga Blvd Suite #450, Palm Beach Gardens FL 33410. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Ifill, Kimberly Anne can be contacted via phone (561) 366-7772.Contact Information
Primary practice address
3399 Pga Blvd Suite #450
Palm Beach Gardens FL 33410
Phone: (561) 366-7772
Fax: (561) 253-9175
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA9102435 | Florida |
Profile Details
| NPI number | 1992755714 |
|---|---|
| LBN Legal business name | Ifill, Kimberly Anne |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Aug 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992755714 | NPPES |
| Florida | Other | PA9102435 | LICENSE |
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