Berezuk, Kimberlee D

Berezuk, Kimberlee D is an individual health care provider with primary practice located at 650 Huebner Rd , Fort Riley KS 66442-4030. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Berezuk, Kimberlee D can be contacted via phone (785) 239-7445.

Contact Information

Primary practice address
650 Huebner Rd Fort Riley KS 66442-4030
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024170173 Virginia

Profile Details

NPI number 1447495551
LBN Legal business name Berezuk, Kimberlee D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2008
Last updated Sep 22nd, 2022 - 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 1447495551 NPPES
Virginia Other 0024170173 NP LICENSE

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