Criss, Kimberley Denise

Criss, Kimberley Denise is an individual health care provider with primary practice located at 5031 N Illinois St , Fairview Heights IL 62208-3453. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Criss, Kimberley Denise can be contacted via phone (618) 212-6800.

Contact Information

Primary practice address
5031 N Illinois St Fairview Heights IL 62208-3453
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209006842 Illinois

Profile Details

NPI number 1578850905
LBN Legal business name Criss, Kimberley Denise
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2011
Last updated Jan 18th, 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.

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