Mccann, Kimberly Brooke

Mccann, Kimberly Brooke is an sole proprietor health care provider with primary practice located at 130 Riverside Dr , Boulder Creek CA 95006-9432. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mccann, Kimberly Brooke can be contacted via phone (310) 780-8723.

Contact Information

Primary practice address
130 Riverside Dr Boulder Creek CA 95006-9432
Phone: (310) 780-8723
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X 4636 California
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 95007438 California

Profile Details

NPI number 1053821553
LBN Legal business name Mccann, Kimberly Brooke
Credentials MSN, CPNP-PC, CNS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2017
Last updated Oct 6th, 2021 - about 4 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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