Raichel, Kimberly

Raichel, Kimberly is an individual health care provider with primary practice located at 210 Black Gold Blvd , Hazard KY 41701-2603. 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. Raichel, Kimberly can be contacted via phone (606) 436-0711.

Contact Information

Primary practice address
210 Black Gold Blvd Hazard KY 41701-2603
Phone: (606) 436-0711
Fax: (606) 436-0848
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4350P Kentucky

Profile Details

NPI number 1821090283
LBN Legal business name Raichel, Kimberly
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jul 27th, 2007 - about 19 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 1821090283 NPPES
Kentucky MEDICAID 78013265

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