Horner, Kimberly Rae
Horner, Kimberly Rae is an individual health care provider with primary practice located at 228 W 4Th St Ste 200 , Cookeville TN 38501-2489. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Horner, Kimberly Rae can be contacted via phone (931) 372-0405.Contact Information
Primary practice address
228 W 4Th St Ste 200
Cookeville TN 38501-2489
Phone: (931) 372-0405
Fax: (931) 372-0463
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 20610 | Tennessee |
Profile Details
NPI number | 1083086433 |
---|---|
LBN Legal business name | Horner, Kimberly Rae |
Credentials | AG-ACNP BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 26th, 2015 |
Last updated | Jan 4th, 2022 - 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 | 1083086433 | NPPES |
Tennessee | MEDICAID | Q018245 | |
Tennessee | Other | 6055560 | |
Tennessee | MEDICAID | 7100421130 |
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