Bodemann, Kimberly R.

Bodemann, Kimberly R. is an individual health care provider with primary practice located at 1662 Higdon Ferry Rd Suite 200, Hot Springs AR 71913-6912. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bodemann, Kimberly R. can be contacted via phone (501) 623-2781.

Contact Information

Primary practice address
1662 Higdon Ferry Rd Suite 200 Hot Springs AR 71913-6912
Phone: (501) 623-2781
Fax: (501) 623-1774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X S01064CNS Arkansas

Profile Details

NPI number 1720044142
LBN Legal business name Bodemann, Kimberly R.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 7th, 2016 - about 9 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 1720044142 NPPES
Arkansas MEDICAID 183336758

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