Ebersol, Kimberly L

Ebersol, Kimberly L is an individual health care provider with primary practice located at 404 N Keene St , Columbia MO 65201-6626. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Ebersol, Kimberly L can be contacted via phone (573) 882-3961.

Contact Information

Primary practice address
404 N Keene St Columbia MO 65201-6626
Phone: (573) 882-3961
Fax: (573) 884-4277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 123260 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X 123260 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 123260 Missouri

Profile Details

NPI number 1679510390
LBN Legal business name Ebersol, Kimberly L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Sep 14th, 2022 - about 2 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 1679510390 NPPES
Missouri Other 693696 HEALTHLINK
Missouri Other 195637 HEALTHLINK
Missouri MEDICAID 429459506 HEALTHLINK

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