Fields, Kimberly Brooke
Fields, Kimberly Brooke is an individual health care provider with primary practice located at 64 Sycolin Rd Se # B , Leesburg VA 20175-4112. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Fields, Kimberly Brooke can be contacted via phone (703) 544-7145.Contact Information
Primary practice address
64 Sycolin Rd Se # B
Leesburg VA 20175-4112
Phone: (703) 544-7145
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-03823 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110003169 | Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 488 | West Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0110-002169 | Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0110-003169 | Virginia |
Profile Details
NPI number | 1326370438 |
---|---|
LBN Legal business name | Fields, Kimberly Brooke |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 1st, 2010 |
Last updated | Feb 27th, 2024 - about 9 months 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 | 1326370438 | NPPES |
Virginia | MEDICAID | 1326370438 |
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