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:
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Health care specialties

SpecialtyCodeLicense #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 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 1932173895 NPPES
Florida MEDICAID 119014300

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