Stayton, Kimberly

Stayton, Kimberly is an sole proprietor health care provider with primary practice located at 6719 Trinity Trail Ln , Richmond TX 77469-1952. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Nursing Service Providers / Pediatrics. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Stayton, Kimberly can be contacted via phone (314) 546-5955.

Contact Information

Primary practice address
6719 Trinity Trail Ln Richmond TX 77469-1952
Phone: (314) 546-5955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Nursing Service Providers / Pediatrics 163WP0200X 2001005289 Missouri

Profile Details

NPI number 1548749203
LBN Legal business name Stayton, Kimberly
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2018
Last updated Aug 30th, 2019 - about 7 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 1548749203 NPPES
Texas MEDICAID 000000

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