Bartley, Kim
Bartley, Kim is an individual health care provider with primary practice located at 655 W 8Th St Ufjp Ob/Gyn, Jacksonville FL 32209-6511. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Bartley, Kim can be contacted via phone (904) 858-6974.Contact Information
Primary practice address
655 W 8Th St Ufjp Ob/Gyn
Jacksonville FL 32209-6511
Phone: (904) 858-6974
Fax: (904) 858-6982
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | ARNP1796732 | Florida |
Profile Details
NPI number | 1083680086 |
---|---|
LBN Legal business name | Bartley, Kim |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 28th, 2006 |
Last updated | Apr 4th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083680086 | NPPES |
Florida | MEDICAID | 3007391-00 | |
Florida | MEDICAID | 000842828C |
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