Shrode, Kimberly

Shrode, Kimberly is an individual health care provider with primary practice located at 1405 Eastland Dr , Bloomington IL 61701-3514. 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. Shrode, Kimberly can be contacted via phone (309) 661-2400.

Contact Information

Primary practice address
1405 Eastland Dr Bloomington IL 61701-3514
Phone: (309) 661-2400
Fax: (309) 661-6226
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209014464 Illinois

Profile Details

NPI number 1902349202
LBN Legal business name Shrode, Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2016
Last updated Nov 18th, 2016 - about 10 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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