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:
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Health care specialties

SpecialtyCodeLicense #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 12 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 1083680086 NPPES
Florida MEDICAID 3007391-00
Florida MEDICAID 000842828C

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