Haley, Kimberly A
Haley, Kimberly A is an individual health care provider with primary practice located at 420 Piedmont Ave , Piedmont MO 63957-1024. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Haley, Kimberly A can be contacted via phone (573) 223-4233.Contact Information
Primary practice address
420 Piedmont Ave
Piedmont MO 63957-1024
Phone: (573) 223-4233
Fax: (573) 223-2136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 089862 | Missouri |
Profile Details
| NPI number | 1932185691 |
|---|---|
| LBN Legal business name | Haley, Kimberly A |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Mar 5th, 2021 - about 3 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 | 1932185691 | NPPES |
| Missouri | Other | 004013890 | MEDICARE |
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