Endres, Kim S.

Endres, Kim S. is an sole proprietor health care provider with primary practice located at 2002 Medical Pkwy Ste 430 , Annapolis MD 21401-3263. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Endres, Kim S. can be contacted via phone (410) 571-2946.

Contact Information

Primary practice address
2002 Medical Pkwy Ste 430 Annapolis MD 21401-3263
Phone: (410) 571-2946
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Maryland

Profile Details

NPI number 1184602724
LBN Legal business name Endres, Kim S.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2006
Last updated Feb 10th, 2020 - about 5 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 1184602724 NPPES
Maryland MEDICAID 777284000

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