Green, Kimberly Ann
Green, Kimberly Ann is an individual health care provider with primary practice located at 300 Pine Grove Cmns , York PA 17403-5176. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Green, Kimberly Ann can be contacted via phone (717) 851-6110.Contact Information
Primary practice address
300 Pine Grove Cmns
York PA 17403-5176
Phone: (717) 851-6110
Fax: (717) 741-1076
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | TP002141C | Pennsylvania |
Profile Details
| NPI number | 1699906560 |
|---|---|
| LBN Legal business name | Green, Kimberly Ann |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2009 |
| Last updated | Sep 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699906560 | NPPES |
| Pennsylvania | Other | 1586612 | GATEWAY-WMG |
| Pennsylvania | Other | 2132382 | GATEWAY-WMG |
| Pennsylvania | Other | 956320 | GATEWAY-WMG |
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