Bywaters, Kimberly Joyce

Bywaters, Kimberly Joyce is an individual health care provider with primary practice located at 6801 E 117Th St , Kansas City MO 64134-3701. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Bywaters, Kimberly Joyce can be contacted via phone (816) 554-4285.

Contact Information

Primary practice address
6801 E 117Th St Kansas City MO 64134-3701
Fax: (816) 554-5550
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 13-60603-022 Kansas

Profile Details

NPI number 1366562001
LBN Legal business name Bywaters, Kimberly Joyce
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Oct 31st, 2016 - about 8 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 1366562001 NPPES
Missouri Other 2001022863 2001022863
Missouri MEDICAID 100098080A 2001022863

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