Epps, Kimbra Ann
Epps, Kimbra Ann is an individual health care provider with primary practice located at 2460 Nw Stewart Parkway Suite 240, Roseburg OR 97471. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Epps, Kimbra Ann can be contacted via phone (541) 677-4427.Contact Information
Primary practice address
2460 Nw Stewart Parkway Suite 240
Roseburg OR 97471
Phone: (541) 677-4427
Fax: (541) 677-6522
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 89000514N1 | Oregon |
Profile Details
NPI number | 1154406064 |
---|---|
LBN Legal business name | Epps, Kimbra Ann |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 26th, 2006 |
Last updated | Sep 12th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154406064 | NPPES |
Other | R103163 | MEDICARE PART B |
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