Kim, Michele L
Kim, Michele L is an sole proprietor health care provider with primary practice located at Cherry Hospital 1401 West Ash Street, Goldsboro NC 27530-1078. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kim, Michele L can be contacted via phone (910) 392-2525.Contact Information
Primary practice address
Cherry Hospital 1401 West Ash Street
Goldsboro NC 27530-1078
Phone: (910) 392-2525
Fax: (910) 392-2827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209008596 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 209008596 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5006333 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5006333 | North Carolina |
Profile Details
| NPI number | 1902179286 |
|---|---|
| LBN Legal business name | Kim, Michele L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2012 |
| Last updated | Oct 8th, 2020 - about 5 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 | 1902179286 | NPPES |
| Illinois | Other | 209008596 | ILLINOIS LICENSE NUMBER |
| Illinois | Other | 5006333 | ILLINOIS LICENSE NUMBER |
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