King, Kimberly Kay

King, Kimberly Kay is an individual health care provider with primary practice located at 1215 E Michigan Ave , Lansing MI 48912-1811. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. King, Kimberly Kay can be contacted via phone (517) 364-2890.

Contact Information

Primary practice address
1215 E Michigan Ave Lansing MI 48912-1811
Phone: (517) 364-2890
Fax: (517) 364-2886
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704182821 Michigan

Profile Details

NPI number 1952491169
LBN Legal business name King, Kimberly Kay
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 2007 - about 17 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 1952491169 NPPES
Michigan Other 5058706050 BCBS INDIVIDUAL PIN
Michigan MEDICAID 4851629 BCBS INDIVIDUAL PIN

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