Ross, Kimberly Nichole
Ross, Kimberly Nichole is an individual health care provider with primary practice located at 9475 Briar Village Pt Ste 320 , Colorado Springs CO 80920-7905. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ross, Kimberly Nichole can be contacted via phone (970) 310-3406.Contact Information
Primary practice address
9475 Briar Village Pt Ste 320
Colorado Springs CO 80920-7905
Phone: (970) 310-3406
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0000864 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APN.0998307-NP | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN.0998307-NP | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 16683 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R868155 | Mississippi |
Profile Details
| NPI number | 1669733838 |
|---|---|
| LBN Legal business name | Ross, Kimberly Nichole |
| Credentials | NP, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2012 |
| Last updated | Jul 24th, 2026 - about 3 months 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 | 1669733838 | NPPES |
| Tennessee | MEDICAID | 1529089 | |
| Tennessee | Other | 16683 | |
| Tennessee | Other | R868155 |
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