Leftwich, Kimberly Anne

Leftwich, Kimberly Anne is an individual health care provider with primary practice located at 165 Legrande Ave , Charlotte Court House VA 23923-3747. 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. Leftwich, Kimberly Anne can be contacted via phone (434) 542-5560.

Contact Information

Primary practice address
165 Legrande Ave Charlotte Court House VA 23923-3747
Fax: (434) 542-5745
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001160613 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024166238 Virginia

Profile Details

NPI number 1194709311
LBN Legal business name Leftwich, Kimberly Anne
Credentials RN, MSN-FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Sep 7th, 2016 - about 8 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 1194709311 NPPES
Virginia MEDICAID 010094909
Virginia MEDICAID 10094887
Virginia MEDICAID 010094925

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