Eckley, Kimberly Ann

Eckley, Kimberly Ann is an sole proprietor health care provider with primary practice located at 174 S Coronado Dr Ste A , Sierra Vista AZ 85635-6356. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Eckley, Kimberly Ann can be contacted via phone (520) 545-0676.

Contact Information

Primary practice address
174 S Coronado Dr Ste A Sierra Vista AZ 85635-6356
Phone: (520) 545-0676
Fax: (520) 547-2993
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN149791 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X AP2960 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP2960 Arizona

Profile Details

NPI number 1235119421
LBN Legal business name Eckley, Kimberly Ann
Credentials WHC NP RNC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2006
Last updated Aug 11th, 2023 - 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 1235119421 NPPES
Arizona MEDICAID 314069

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