Kephart, Tami Lynne

Kephart, Tami Lynne is an individual health care provider with primary practice located at 4125 Briargate Blvd , Colorado Springs CO 80920-3490. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kephart, Tami Lynne can be contacted via phone (719) 305-9025.

Contact Information

Primary practice address
4125 Briargate Blvd Colorado Springs CO 80920-3490
Phone: (719) 305-9025
Fax: (719) 305-9026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 110077 Colorado

Profile Details

NPI number 1619193893
LBN Legal business name Kephart, Tami Lynne
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jul 22nd, 2013 - about 12 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 1619193893 NPPES
Colorado MEDICAID 07110075

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