Broadwell, Kimberly Gilliard
Broadwell, Kimberly Gilliard is an individual health care provider with primary practice located at 4420 Lake Boone Trl , Raleigh NC 27607-7505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Broadwell, Kimberly Gilliard can be contacted via phone (919) 784-3542.Contact Information
Primary practice address
4420 Lake Boone Trl
Raleigh NC 27607-7505
Phone: (919) 784-3542
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 5013905 | North Carolina |
Profile Details
| NPI number | 1255928479 |
|---|---|
| LBN Legal business name | Broadwell, Kimberly Gilliard |
| Credentials | ACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2020 |
| Last updated | May 3rd, 2021 - 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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