Johnson, Kimberly L
Johnson, Kimberly L is an individual health care provider with primary practice located at 131 Welton Way , Mooresville NC 28117-9163. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Kimberly L can be contacted via phone (704) 360-4564.Contact Information
Primary practice address
131 Welton Way
Mooresville NC 28117-9163
Phone: (704) 360-4564
Fax: (704) 360-4553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F0709387 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 336144 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5005051 | North Carolina |
Profile Details
| NPI number | 1518272707 |
|---|---|
| LBN Legal business name | Johnson, Kimberly L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2010 |
| Last updated | Aug 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518272707 | NPPES |
| North Carolina | Other | 1518272707 | NPI |
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