Lim, Kellie Jane
Lim, Kellie Jane is an individual health care provider with primary practice located at 7471 N Fresno St , Fresno CA 93720-2457. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as her primary health care specialty. Lim, Kellie Jane can be contacted via phone (559) 436-4500.Contact Information
Primary practice address
7471 N Fresno St
Fresno CA 93720-2457
Phone: (559) 436-4500
Fax: (559) 436-0500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | A106613 | California |
Profile Details
| NPI number | 1134328735 |
|---|---|
| LBN Legal business name | Lim, Kellie Jane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2007 |
| Last updated | Jun 24th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134328735 | NPPES |
| California | MEDICAID | GR0043790 | |
| California | Other | ZZZ21572Z |
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