Robertson, Kimberly

Robertson, Kimberly is an individual health care provider with primary practice located at 1724 State St , New Albany IN 47150. 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. Robertson, Kimberly can be contacted via phone (866) 460-3567.

Contact Information

Primary practice address
1724 State St New Albany IN 47150
Phone: (866) 460-3567
Fax: (855) 632-8329
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71005564A Indiana

Profile Details

NPI number 1720461924
LBN Legal business name Robertson, Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2015
Last updated Dec 4th, 2020 - about 6 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 1720461924 NPPES
Kentucky Other 13580854 CAQH

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