Ellis, Kimberly
Ellis, Kimberly is an sole proprietor health care provider with primary practice located at 104 Logan St , Williamson WV 25661-3606. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ellis, Kimberly can be contacted via phone (304) 236-5902.Contact Information
Primary practice address
104 Logan St
Williamson WV 25661-3606
Phone: (304) 236-5902
Fax: (304) 235-8150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 44540 | West Virginia |
Profile Details
| NPI number | 1972191195 |
|---|---|
| LBN Legal business name | Ellis, Kimberly |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2021 |
| Last updated | Jan 4th, 2021 - about 4 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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