Evert, Kim A.

Evert, Kim A. is an individual health care provider with primary practice located at 12222 Merit Dr Ste 600 , Dallas TX 75251-3294. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Evert, Kim A. can be contacted via phone (972) 715-5000.

Contact Information

Primary practice address
12222 Merit Dr Ste 600 Dallas TX 75251-3294
Phone: (972) 715-5000
Fax: (972) 715-9976
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP111085 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 500207 Texas

Profile Details

NPI number 1992777304
LBN Legal business name Evert, Kim A.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jun 23rd, 2022 - about 2 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 1992777304 NPPES
Texas Other 8872UG BCBS
Texas MEDICAID 154320908 BCBS
Texas MEDICAID 154320909 BCBS
Texas Other P01445787 BCBS
Texas MEDICAID 154320907 BCBS
Texas Other 85197U BCBS
Texas Other 89606U BCBS
Texas Other P00983532 BCBS

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