Nelson, Kimberly J

Nelson, Kimberly J is an individual health care provider with primary practice located at 4025 Health Park Ln , Saint Joseph MI 49085-3421. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Nelson, Kimberly J can be contacted via phone (269) 429-7100.

Contact Information

Primary practice address
4025 Health Park Ln Saint Joseph MI 49085-3421
Phone: (269) 429-7100
Fax: (269) 429-1959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704164646 Michigan

Profile Details

NPI number 1700993441
LBN Legal business name Nelson, Kimberly J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated May 2nd, 2016 - about 9 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 1700993441 NPPES
Michigan MEDICAID 1700993441

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