Kimberling, Cody J.
Kimberling, Cody J. is an individual health care provider with primary practice located at 601 West Leota Street , North Platte NE 69101-6598. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kimberling, Cody J. can be contacted via phone (308) 696-8000.Contact Information
Primary practice address
601 West Leota Street
North Platte NE 69101-6598
Phone: (308) 696-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 673 | Nebraska |
Profile Details
| NPI number | 1871686519 |
|---|---|
| LBN Legal business name | Kimberling, Cody J. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jun 27th, 2008 - about 18 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 | 1871686519 | NPPES |
| Nebraska | MEDICAID | 47066229001 |
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