Berthold, Kimberly A
Berthold, Kimberly A is an individual health care provider with primary practice located at 20 Ne Saint Lukes Blvd Suite 240, Lees Summit MO 64086-6001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Berthold, Kimberly A can be contacted via phone (816) 931-1883.Contact Information
Primary practice address
20 Ne Saint Lukes Blvd Suite 240
Lees Summit MO 64086-6001
Phone: (816) 931-1883
Fax: (816) 756-3645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2008001025 | Missouri |
Profile Details
| NPI number | 1780825570 |
|---|---|
| LBN Legal business name | Berthold, Kimberly A |
| Credentials | RN, BC, FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2009 |
| Last updated | May 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780825570 | NPPES |
| Kansas | MEDICAID | 200258340D | |
| Kansas | MEDICAID | 200258340E | |
| Kansas | Other | P00836071 | |
| Kansas | Other | P00842733 | |
| Kansas | MEDICAID | 1780825570 |
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