Dodson, Kimberly A

Dodson, Kimberly A is an individual health care provider with primary practice located at 1700 S Lincoln Ave , Lebanon PA 17042-7529. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Dodson, Kimberly A can be contacted via phone (717) 272-6621.

Contact Information

Primary practice address
1700 S Lincoln Ave Lebanon PA 17042-7529
Phone: (717) 272-6621
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP009036 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X SP020612 Pennsylvania

Profile Details

NPI number 1255361192
LBN Legal business name Dodson, Kimberly A
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Mar 27th, 2024 - about last year

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 1255361192 NPPES
Pennsylvania MEDICAID 102966110

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