Kimbrell, Holly D

Kimbrell, Holly D is an individual health care provider with primary practice located at 501 Redmond Rd Nw Emergency Department, Rome GA 30165-1415. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kimbrell, Holly D can be contacted via phone (706) 291-0291.

Contact Information

Primary practice address
501 Redmond Rd Nw Emergency Department Rome GA 30165-1415
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN123684 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN123684 Georgia

Profile Details

NPI number 1851614531
LBN Legal business name Kimbrell, Holly D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2010
Last updated May 23rd, 2017 - about 7 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 1851614531 NPPES
Georgia Other RN123684 LICENSE

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