Mansell, Kimberly Grant

Mansell, Kimberly Grant is an individual health care provider with primary practice located at 2500 Harbor Blvd , Port Charlotte FL 33952-5000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mansell, Kimberly Grant can be contacted via phone (941) 625-4155.

Contact Information

Primary practice address
2500 Harbor Blvd Port Charlotte FL 33952-5000
Phone: (941) 625-4155
Fax: (941) 625-4155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A-1350-06 New Mexico

Profile Details

NPI number 1952352239
LBN Legal business name Mansell, Kimberly Grant
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 8th, 2007 - about 17 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 1952352239 NPPES
New Mexico MEDICAID PENDING

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