Longcake, Kimberly Lynn
Longcake, Kimberly Lynn is an individual health care provider with primary practice located at 202 Conway Dr Ste 200 , Kalispell MT 59901-3153. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Longcake, Kimberly Lynn can be contacted via phone (844) 215-7969.Contact Information
Primary practice address
202 Conway Dr Ste 200
Kalispell MT 59901-3153
Phone: (844) 215-7969
Fax: (406) 758-7080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 991 | Alaska |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 100423 | Montana |
Profile Details
| NPI number | 1891990081 |
|---|---|
| LBN Legal business name | Longcake, Kimberly Lynn |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2007 |
| Last updated | Nov 27th, 2023 - about 3 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 | 1891990081 | NPPES |
| Alaska | Other | 162616 | MEDICARE MD GROUP # |
| Alaska | MEDICAID | NP05782 | MEDICARE MD GROUP # |
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