East, Kimberly Denise

East, Kimberly Denise is an individual health care provider with primary practice located at 160 N Eagle Creek Dr Suite 400, Lexington KY 40509-2121. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. East, Kimberly Denise can be contacted via phone (859) 258-5220.

Contact Information

Primary practice address
160 N Eagle Creek Dr Suite 400 Lexington KY 40509-2121
Phone: (859) 258-5220
Fax: (859) 258-5405
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 1358P Kentucky

Profile Details

NPI number 1568538981
LBN Legal business name East, Kimberly Denise
Credentials APRN-WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Mar 28th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568538981 NPPES
Kentucky Other 0169 LC MEDICARE GROUP ID
Kentucky MEDICAID 78902798 LC MEDICARE GROUP ID
Kentucky MEDICAID 78001278 LC MEDICARE GROUP ID

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