Ifill, Kimberly Anne

Ifill, Kimberly Anne is an individual health care provider with primary practice located at 3399 Pga Blvd Suite #450, Palm Beach Gardens FL 33410. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Ifill, Kimberly Anne can be contacted via phone (561) 366-7772.

Contact Information

Primary practice address
3399 Pga Blvd Suite #450 Palm Beach Gardens FL 33410
Phone: (561) 366-7772
Fax: (561) 253-9175
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9102435 Florida

Profile Details

NPI number 1992755714
LBN Legal business name Ifill, Kimberly Anne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Aug 9th, 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 1992755714 NPPES
Florida Other PA9102435 LICENSE

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