Kimbler, Amanda Denise

Kimbler, Amanda Denise is an individual health care provider with primary practice located at 318 S 7Th St , Mayfield KY 42066-2337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kimbler, Amanda Denise can be contacted via phone (270) 251-3223.

Contact Information

Primary practice address
318 S 7Th St Mayfield KY 42066-2337
Phone: (270) 251-3223
Fax: (270) 251-3220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3007992 Kentucky

Profile Details

NPI number 1174864516
LBN Legal business name Kimbler, Amanda Denise
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2013
Last updated Mar 7th, 2023 - about 2 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 1174864516 NPPES
Kentucky Other 1122485 NURSE
Kentucky Other 7100090880 NURSE
Kentucky Other 253582 NURSE
Kentucky Other 3007992 NURSE
Kentucky MEDICAID 7100242550 NURSE
Kentucky Other 00975 NURSE

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