King, Kimberly Jo

King, Kimberly Jo is an sole proprietor health care provider with primary practice located at 209 W Main St , Boise ID 83702. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. King, Kimberly Jo can be contacted via phone (208) 608-6642.

Contact Information

Primary practice address
209 W Main St Boise ID 83702
Phone: (208) 608-6642
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X N-31500 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 58448 Idaho

Profile Details

NPI number 1528562899
LBN Legal business name King, Kimberly Jo
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2018
Last updated May 18th, 2018 - 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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