Kimsey, L. Mark

Kimsey, L. Mark is an sole proprietor health care provider with primary practice located at 305 E Logan St , Caldwell ID 83605-4863. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kimsey, L. Mark can be contacted via phone (208) 459-2840.

Contact Information

Primary practice address
305 E Logan St Caldwell ID 83605-4863
Phone: (208) 459-2840
Fax: (208) 459-3012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X M5654 Idaho

Profile Details

NPI number 1528022084
LBN Legal business name Kimsey, L. Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2006
Last updated Feb 6th, 2024 - about 2 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 1528022084 NPPES
Idaho Other 5654-9 BLUE CROSS
Idaho Other 000010004477 BLUE CROSS
Idaho MEDICAID 000390401 BLUE CROSS

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