Rea, Kimberley A
Rea, Kimberley A is an individual health care provider with primary practice located at 4660 Yosemite St Ste 100 , Denver CO 80238-4481. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Rea, Kimberley A can be contacted via phone (720) 516-8907.Contact Information
Primary practice address
4660 Yosemite St Ste 100
Denver CO 80238-4481
Phone: (720) 516-8907
Fax: (720) 516-8905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | 1061543 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 4058P | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | NP0006039 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | 0024170292 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APN.0006039-NP | Colorado |
Profile Details
| NPI number | 1366407785 |
|---|---|
| LBN Legal business name | Rea, Kimberley A |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Aug 5th, 2024 - about 2 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 | 1366407785 | NPPES |
| Kentucky | MEDICAID | 78012572 | |
| Kentucky | Other | 321797YPNB | |
| Kentucky | Other | CO304703/CO307663 | |
| Kentucky | Other | 00198508 |
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