Luckman, Kimberly G
Luckman, Kimberly G is an individual health care provider with primary practice located at 505 Jenkins St , Lagrange GA 30240-4225. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Luckman, Kimberly G can be contacted via phone (706) 407-0161.Contact Information
Primary practice address
505 Jenkins St
Lagrange GA 30240-4225
Phone: (706) 407-0161
Fax: (706) 756-1404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | RN285427 | Georgia |
Profile Details
| NPI number | 1477197812 |
|---|---|
| LBN Legal business name | Luckman, Kimberly G |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2019 |
| Last updated | Jul 29th, 2021 - about 3 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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