King, Kimberly Suzanne

King, Kimberly Suzanne is an individual health care provider with primary practice located at 350 Langdon St , Somerset KY 42503-2786. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. King, Kimberly Suzanne can be contacted via phone (606) 678-8155.

Contact Information

Primary practice address
350 Langdon St Somerset KY 42503-2786
Phone: (606) 678-8155
Fax: (606) 678-7548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4082P Kentucky

Profile Details

NPI number 1033189824
LBN Legal business name King, Kimberly Suzanne
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Apr 17th, 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 1033189824 NPPES
Kentucky MEDICAID 78010006

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