Johnson, Kimberly A
Johnson, Kimberly A is an individual health care provider with primary practice located at 100 Enterprise Dr , Yorktown VA 23692-3190. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Kimberly A can be contacted via phone (757) 736-3725.Contact Information
Primary practice address
100 Enterprise Dr
Yorktown VA 23692-3190
Phone: (757) 736-3725
Fax: (757) 431-7782
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 138414 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024177320 | Virginia |
Profile Details
| NPI number | 1730150889 |
|---|---|
| LBN Legal business name | Johnson, Kimberly A |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Jan 16th, 2023 - about 3 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 | 1730150889 | NPPES |
| Missouri | MEDICAID | 1730150889 | |
| Missouri | Other | P01230388 | |
| Missouri | Other | 138414 |
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