Kimball, Nicole

Kimball, Nicole is an sole proprietor health care provider with primary practice located at 242 Hospital Dr Ste A , Ukiah CA 95482-4556. 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. Kimball, Nicole can be contacted via phone (707) 462-4303.

Contact Information

Primary practice address
242 Hospital Dr Ste A Ukiah CA 95482-4556
Phone: (707) 462-4303
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 055.0031689 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA59084 California

Profile Details

NPI number 1083257786
LBN Legal business name Kimball, Nicole
Credentials PA-C, CAQ-OBGYN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2019
Last updated Jul 28th, 2026 - about 4 months 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 1083257786 NPPES
Vermont MEDICAID 6714044
Vermont Other 055.0031689

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