Lemaster, Kimberly Renee

Lemaster, Kimberly Renee is an individual health care provider with primary practice located at 111 Magnolia Street , Magnolia MS 39652. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lemaster, Kimberly Renee can be contacted via phone (601) 783-2374.

Contact Information

Primary practice address
111 Magnolia Street Magnolia MS 39652
Phone: (601) 783-2374
Fax: (601) 783-5126
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R743305 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R743305 Mississippi

Profile Details

NPI number 1053477711
LBN Legal business name Lemaster, Kimberly Renee
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Nov 4th, 2020 - about 6 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 1053477711 NPPES
Mississippi MEDICAID 02853573

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