Acevedo, Kimberly Lynn

Acevedo, Kimberly Lynn is an individual health care provider with primary practice located at 105 N Doverplum Ave , Kissimmee FL 34758-3309. 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. Acevedo, Kimberly Lynn can be contacted via phone (407) 943-8600.

Contact Information

Primary practice address
105 N Doverplum Ave Kissimmee FL 34758-3309
Phone: (407) 943-8600
Fax: (407) 943-8625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9206642 Florida

Profile Details

NPI number 1164777827
LBN Legal business name Acevedo, Kimberly Lynn
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2012
Last updated Dec 11th, 2012 - about 13 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 1164777827 NPPES
Florida MEDICAID 006378400

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