Kimberly, Sally L

Kimberly, Sally L is an individual health care provider with primary practice located at 1600 Sw Archer Road , Gainesville FL 32610-0371. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Kimberly, Sally L can be contacted via phone (352) 392-4491.

Contact Information

Primary practice address
1600 Sw Archer Road Gainesville FL 32610-0371
Phone: (352) 392-4491
Fax: (352) 392-9912
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP1606692 Florida

Profile Details

NPI number 1518988120
LBN Legal business name Kimberly, Sally L
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Mar 9th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518988120 NPPES
Florida MEDICAID 033630100

Popular Providers