Gush, Kimberly Ann
Gush, Kimberly Ann is an sole proprietor health care provider with primary practice located at 300 Market St Ste 112 , Chapel Hill NC 27516-4493. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gush, Kimberly Ann can be contacted via phone (919) 969-9611.Contact Information
Primary practice address
300 Market St Ste 112
Chapel Hill NC 27516-4493
Phone: (919) 969-9611
Fax: (919) 969-9615
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2005-00670 | North Carolina |
Profile Details
| NPI number | 1306845565 |
|---|---|
| LBN Legal business name | Gush, Kimberly Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1306845565 | NPPES |
| North Carolina | MEDICAID | 5902692 |
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