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
Phone: (706) 291-0291
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851614531 | NPPES |
Georgia | Other | RN123684 | LICENSE |
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