Kimbrough, Cherie Lanham

Kimbrough, Cherie Lanham is an individual health care provider with primary practice located at 100 Medical Plaza Dr Emergency Department, Lake Saint Louis MO 63367. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kimbrough, Cherie Lanham can be contacted via phone (636) 625-5300.

Contact Information

Primary practice address
100 Medical Plaza Dr Emergency Department Lake Saint Louis MO 63367
Phone: (636) 625-5300
Fax: (636) 625-5376
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2012008398 Missouri

Profile Details

NPI number 1437415551
LBN Legal business name Kimbrough, Cherie Lanham
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2012
Last updated Oct 20th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437415551 NPPES
Missouri MEDICAID 507602605

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