Hogge, Kimberle Lynne
Hogge, Kimberle Lynne is an individual health care provider with primary practice located at 11315 Pembrooke Sq Suite 110, Waldorf MD 20603-4806. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hogge, Kimberle Lynne can be contacted via phone (301) 843-7232.Contact Information
Primary practice address
11315 Pembrooke Sq Suite 110
Waldorf MD 20603-4806
Phone: (301) 843-7232
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA030787 | District of Columbia |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA0003586 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C05727 | Maryland |
Profile Details
| NPI number | 1568747939 |
|---|---|
| LBN Legal business name | Hogge, Kimberle Lynne |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2011 |
| Last updated | Jan 20th, 2016 - about 9 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 | 1568747939 | NPPES |
| Colorado | MEDICAID | 15223531 | |
| Colorado | Other | 23375 |
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