Cullimore, Kip C
Cullimore, Kip C is an sole proprietor health care provider with primary practice located at 8381 Riverwalk Park Blvd Suite 101, Fort Myers FL 33919-8760. He recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as his primary health care specialty. Cullimore, Kip C can be contacted via phone (239) 936-5425.Contact Information
Primary practice address
8381 Riverwalk Park Blvd Suite 101
Fort Myers FL 33919-8760
Phone: (239) 936-5425
Fax: (239) 936-5176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | ME0071841 | Florida |
Profile Details
| NPI number | 1831150507 |
|---|---|
| LBN Legal business name | Cullimore, Kip C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Dec 26th, 2013 - about 11 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 | 1831150507 | NPPES |
| Florida | Other | 5762385 | AETNA |
| Florida | Other | 070009505 | AETNA |
| Florida | Other | 32504 | AETNA |
| Florida | Other | 5361863002 | AETNA |
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