Baird, Kim Timmerman

Baird, Kim Timmerman is an individual health care provider with primary practice located at 308 Bedell Ave , Woodbine GA 31569-0307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Baird, Kim Timmerman can be contacted via phone (912) 576-5999.

Contact Information

Primary practice address
308 Bedell Ave Woodbine GA 31569-0307
Fax: (912) 576-5888
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R051587 Georgia

Profile Details

NPI number 1790755585
LBN Legal business name Baird, Kim Timmerman
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Sep 18th, 2023 - about 2 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 1790755585 NPPES
Georgia MEDICAID 00632673D

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