Fantasia, Kimberley R

Fantasia, Kimberley R is an individual health care provider with primary practice located at 200 Kennedy Memorial Dr , Waterville ME 04901-4526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fantasia, Kimberley R can be contacted via phone (207) 681-3000.

Contact Information

Primary practice address
200 Kennedy Memorial Dr Waterville ME 04901-4526
Phone: (207) 681-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R051730 Maine
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP081842 Maine

Profile Details

NPI number 1154547479
LBN Legal business name Fantasia, Kimberley R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Sep 2nd, 2010 - about 14 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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