Hauch, Kimberly Jo

Hauch, Kimberly Jo is an individual health care provider with primary practice located at 1301 33Rd St S , Saint Cloud MN 56301-9668. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Hauch, Kimberly Jo can be contacted via phone (320) 251-8181.

Contact Information

Primary practice address
1301 33Rd St S Saint Cloud MN 56301-9668
Phone: (320) 251-8181
Fax: (320) 251-6942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9021 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9021 Minnesota

Profile Details

NPI number 1528139821
LBN Legal business name Hauch, Kimberly Jo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated Nov 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528139821 NPPES
Minnesota MEDICAID 731174500

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