Johnston, Kimberli S
Johnston, Kimberli S is an individual health care provider with primary practice located at 3730 7Th Ter Ste 101 , Vero Beach FL 32960-6556. 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. Johnston, Kimberli S can be contacted via phone (772) 567-2332.Contact Information
Primary practice address
3730 7Th Ter Ste 101
Vero Beach FL 32960-6556
Phone: (772) 567-2332
Fax: (844) 812-2806
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1707 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9117536 | Florida |
Profile Details
NPI number | 1932173895 |
---|---|
LBN Legal business name | Johnston, Kimberli S |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 15th, 2006 |
Last updated | Sep 12th, 2023 - about last year |
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 | 1932173895 | NPPES |
Florida | MEDICAID | 119014300 |
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