Lorentz, Kimberly R

Lorentz, Kimberly R is an individual health care provider with primary practice located at 1241 W Stadium Blvd , Jefferson City MO 65109. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Lorentz, Kimberly R can be contacted via phone (573) 556-1706.

Contact Information

Primary practice address
1241 W Stadium Blvd Jefferson City MO 65109
Phone: (573) 556-1706
Fax: (573) 556-1718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2012008569 Missouri

Profile Details

NPI number 1255605895
LBN Legal business name Lorentz, Kimberly R
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 29th, 2012
Last updated Jun 15th, 2018 - about 8 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 1255605895 NPPES
Missouri Other 147034 STATE RN LICENSE
Missouri Other 2012008569 STATE RN LICENSE

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