Evans, Kimberly Susan

Evans, Kimberly Susan is an sole proprietor health care provider with primary practice located at 1050 W Hayward Dr , Mount Vernon MO 65712-6329. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Evans, Kimberly Susan can be contacted via phone (417) 466-7196.

Contact Information

Primary practice address
1050 W Hayward Dr Mount Vernon MO 65712-6329
Phone: (417) 466-7196
Fax: (417) 466-4081
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X

Profile Details

NPI number 1245966712
LBN Legal business name Evans, Kimberly Susan
Credentials DH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2022
Last updated Jul 27th, 2022 - about 3 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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