Lewis, Kim

Lewis, Kim is an individual health care provider with primary practice located at 13555 W Mcdowell Rd Ste 208 , Goodyear AZ 85338-2628. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist Cardiovascular, which is considered as her primary health care specialty. Lewis, Kim can be contacted via phone (623) 512-4155.

Contact Information

Primary practice address
13555 W Mcdowell Rd Ste 208 Goodyear AZ 85338-2628
Phone: (623) 512-4155
Fax: (623) 512-4152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist Cardiovascular 246X00000X Arizona

Profile Details

NPI number 1962552133
LBN Legal business name Lewis, Kim
Credentials Certified Clinical Perfusionist (CCP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jul 9th, 2007 - about 18 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 1962552133 NPPES
Arizona MEDICAID 927749

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