Evans, Kimberly S

Evans, Kimberly S is an individual health care provider with primary practice located at 606 Burkesville Rd , Albany KY 42602-1612. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Evans, Kimberly S can be contacted via phone (606) 387-0675.

Contact Information

Primary practice address
606 Burkesville Rd Albany KY 42602-1612
Fax: (606) 387-3149
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3010191 Kentucky

Profile Details

NPI number 1326492919
LBN Legal business name Evans, Kimberly S
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2016
Last updated Jul 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326492919 NPPES
Kentucky MEDICAID 7100396930

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