Dickerson, Kimberly Whalen

Dickerson, Kimberly Whalen is an sole proprietor health care provider with primary practice located at 205 Se Wilson Ave Ste 1 , Bend OR 97702-1799. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Dickerson, Kimberly Whalen can be contacted via phone (541) 312-5849.

Contact Information

Primary practice address
205 Se Wilson Ave Ste 1 Bend OR 97702-1799
Phone: (541) 312-5849
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 201042132RN Oregon

Profile Details

NPI number 1548546799
LBN Legal business name Dickerson, Kimberly Whalen
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2011
Last updated Nov 1st, 2011 - about 13 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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