Gomez, Kymberly L
Gomez, Kymberly L is an individual health care provider with primary practice located at 14532 S Outer 40 Rd Dept Orthopaedic Surg, Dept Ste 200, Chesterfield MO 63017-5705. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gomez, Kymberly L can be contacted via phone (314) 514-3913.Contact Information
Primary practice address
14532 S Outer 40 Rd Dept Orthopaedic Surg, Dept Ste 200
Chesterfield MO 63017-5705
Phone: (314) 514-3913
Fax: (314) 514-3534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 111559 | Missouri |
Profile Details
| NPI number | 1225068851 |
|---|---|
| LBN Legal business name | Gomez, Kymberly L |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Apr 25th, 2024 - about last year |
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 | 1225068851 | NPPES |
| Missouri | MEDICAID | 220054732 |
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