Green, Kimberly Ruth
Green, Kimberly Ruth is an individual health care provider with primary practice located at 8591 S Broadway Ave , Tyler TX 75703-5470. She recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as her primary health care specialty. Green, Kimberly Ruth can be contacted via phone (903) 606-8840.Contact Information
Primary practice address
8591 S Broadway Ave
Tyler TX 75703-5470
Phone: (903) 606-8840
Fax: (903) 510-1121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse First Assistant | 163WR0006X | 936159 | Texas |
Profile Details
| NPI number | 1336847623 |
|---|---|
| LBN Legal business name | Green, Kimberly Ruth |
| Credentials | RNAS-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2023 |
| Last updated | Feb 16th, 2023 - 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.
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