Dostal, Kimberly Park
Dostal, Kimberly Park is an individual health care provider with primary practice located at 3225 Hospital Dr # 102, Juneau AK 99801. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dostal, Kimberly Park can be contacted via phone (907) 586-3068.Contact Information
Primary practice address
3225 Hospital Dr # 102
Juneau AK 99801
Phone: (907) 586-3068
Fax: (907) 586-3078
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 16309 | Alaska |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 357 | Alaska |
Profile Details
NPI number | 1477692838 |
---|---|
LBN Legal business name | Dostal, Kimberly Park |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 5th, 2007 |
Last updated | Nov 30th, 2011 - about 14 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 | 1477692838 | NPPES |
Alaska | MEDICAID | AP0350 |
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