Belke, Kimberly S
Belke, Kimberly S is an individual health care provider with primary practice located at 240 Riverside Dr. , Johnson City NY 13790-2732. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Belke, Kimberly S can be contacted via phone (607) 798-9356.Contact Information
Primary practice address
240 Riverside Dr.
Johnson City NY 13790-2732
Phone: (607) 798-9356
Fax: (607) 797-1707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 010895 | New York |
Profile Details
| NPI number | 1528167251 |
|---|---|
| LBN Legal business name | Belke, Kimberly S |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Oct 28th, 2014 - about 10 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 | 1528167251 | NPPES |
| New York | MEDICAID | 02720712 |
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