King, Kimberly S

King, Kimberly S is an individual health care provider with primary practice located at 1333 E Barnett Rd , Medford OR 97504. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. King, Kimberly S can be contacted via phone (541) 779-4711.

Contact Information

Primary practice address
1333 E Barnett Rd Medford OR 97504
Phone: (541) 779-4711
Fax: (541) 779-0796
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 55479 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 55479 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 201802897CRNA Oregon

Profile Details

NPI number 1518921964
LBN Legal business name King, Kimberly S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jun 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518921964 NPPES
Kansas MEDICAID 200363250A
Kansas MEDICAID 500743849

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