Bates, Kimberly Melissa

Bates, Kimberly Melissa is an individual health care provider with primary practice located at 699 W Cocoa Beach Cswy Suite 603, Cocoa Beach FL 32931-3577. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Bates, Kimberly Melissa can be contacted via phone (321) 868-8364.

Contact Information

Primary practice address
699 W Cocoa Beach Cswy Suite 603 Cocoa Beach FL 32931-3577
Phone: (321) 868-8364
Fax: (321) 868-8372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9334301 Florida
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X APRN9334301 Florida

Profile Details

NPI number 1891070330
LBN Legal business name Bates, Kimberly Melissa
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2011
Last updated Apr 8th, 2019 - about 5 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 1891070330 NPPES
Florida MEDICAID 004475500
Florida Other FR816Y

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