Andrews, Kimberly Jean

Andrews, Kimberly Jean is an individual health care provider with primary practice located at 1965 S Fremont Ste 260, Springfield MO 65804-2257. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Andrews, Kimberly Jean can be contacted via phone (417) 820-0280.

Contact Information

Primary practice address
1965 S Fremont Ste 260 Springfield MO 65804-2257
Phone: (417) 820-0280
Fax: (417) 820-0290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 152395 Missouri

Profile Details

NPI number 1053429761
LBN Legal business name Andrews, Kimberly Jean
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Aug 30th, 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 1053429761 NPPES
Missouri Other P01037293 MCR RR
Missouri Other 431560263 MCR RR
Missouri MEDICAID 1053429761 MCR RR
Missouri MEDICAID 192788758 MCR RR

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