Anderson, Kimberley Jo

Anderson, Kimberley Jo is an individual health care provider with primary practice located at 5302 W Village Pkwy Ste 3 , Rogers AR 72758-8139. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Anderson, Kimberley Jo can be contacted via phone (479) 372-4560.

Contact Information

Primary practice address
5302 W Village Pkwy Ste 3 Rogers AR 72758-8139
Phone: (479) 372-4560
Fax: (877) 461-6743
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X M002134 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X M002134 Arkansas

Profile Details

NPI number 1831255744
LBN Legal business name Anderson, Kimberley Jo
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Nov 29th, 2017 - about 8 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 1831255744 NPPES
Arkansas MEDICAID 222290799

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