Evans, Kimberley Dawn
Evans, Kimberley Dawn is an sole proprietor health care provider with primary practice located at 1970 University Ave , Riverside CA 92507-5202. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Evans, Kimberley Dawn can be contacted via phone (951) 276-0668.Contact Information
Primary practice address
1970 University Ave
Riverside CA 92507-5202
Phone: (951) 276-0668
Fax: (951) 928-9578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 10774 | California |
Profile Details
| NPI number | 1861690224 |
|---|---|
| LBN Legal business name | Evans, Kimberley Dawn |
| Credentials | HYGIENIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1861690224 | NPPES |
| California | Other | FHC70865F | MEDICAL |
| California | Other | G98054-02 | MEDICAL |
| California | Other | G98054-04 | MEDICAL |
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