Gayheart, Kimberly Rene
Gayheart, Kimberly Rene is an individual health care provider with primary practice located at 145 Citizens Lane Suite B, Hazard KY 41701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gayheart, Kimberly Rene can be contacted via phone (606) 439-1300.Contact Information
Primary practice address
145 Citizens Lane Suite B
Hazard KY 41701
Phone: (606) 439-1300
Fax: (606) 439-1400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4915P | Kentucky |
Profile Details
| NPI number | 1184719585 |
|---|---|
| LBN Legal business name | Gayheart, Kimberly Rene |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jan 24th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184719585 | NPPES |
| Kentucky | MEDICAID | 7100005420 |
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