Lane, Kimberly

Lane, Kimberly is an sole proprietor health care provider with primary practice located at 8851 Center Dr Suite 501, La Mesa CA 91942-3017. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lane, Kimberly can be contacted via phone (619) 697-2456.

Contact Information

Primary practice address
8851 Center Dr Suite 501 La Mesa CA 91942-3017
Fax: (619) 697-2494
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 337173 California

Profile Details

NPI number 1457670119
LBN Legal business name Lane, Kimberly
Credentials NURSE PRACTIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2010
Last updated May 20th, 2010 - about 14 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 1457670119 NPPES
California Other 337173 LICENSE NUMBER

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