Diel, Kimberly Lynn
Diel, Kimberly Lynn is an sole proprietor health care provider with primary practice located at 129 Vision Park Blvd Ste 307 , Shenandoah TX 77384-3024. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Diel, Kimberly Lynn can be contacted via phone (369) 321-5440.Contact Information
Primary practice address
129 Vision Park Blvd Ste 307
Shenandoah TX 77384-3024
Phone: (369) 321-5440
Fax: (936) 271-3707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APP144254 | Texas |
Profile Details
| NPI number | 1245887447 |
|---|---|
| LBN Legal business name | Diel, Kimberly Lynn |
| Credentials | AGACNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2019 |
| Last updated | Jul 27th, 2020 - about 4 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 | 1245887447 | NPPES |
| Texas | Other | 805026 | NA |
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