Kimberly, James R
Kimberly, James R is an individual health care provider with primary practice located at 1883 Kingsley Ave Ste 1100, Orange Park FL 32073-4479. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Kimberly, James R can be contacted via phone (904) 264-9797.Contact Information
Primary practice address
1883 Kingsley Ave Ste 1100
Orange Park FL 32073-4479
Phone: (904) 264-9797
Fax: (904) 264-4644
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME 101619 | Florida |
Profile Details
NPI number | 1528240199 |
---|---|
LBN Legal business name | Kimberly, James R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 5th, 2007 |
Last updated | May 24th, 2011 - about 14 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 | 1528240199 | NPPES |
Florida | MEDICAID | 000166400 |
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