Kannenberg, Kimberly

Kannenberg, Kimberly is an sole proprietor health care provider with primary practice located at 1425 S Congress Ave , Delray Beach FL 33445-6384. 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. Kannenberg, Kimberly can be contacted via phone (561) 330-9363.

Contact Information

Primary practice address
1425 S Congress Ave Delray Beach FL 33445-6384
Phone: (561) 330-9363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9106163 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 00269 Texas

Profile Details

NPI number 1265777544
LBN Legal business name Kannenberg, Kimberly
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2012
Last updated Jun 10th, 2013 - about 11 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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