Mcdorman, Kimberly

Mcdorman, Kimberly is an individual health care provider with primary practice located at 8080 E Central Ave Suite 250, Wichita KS 67206-2368. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Mcdorman, Kimberly can be contacted via phone (316) 686-7327.

Contact Information

Primary practice address
8080 E Central Ave Suite 250 Wichita KS 67206-2368
Phone: (316) 686-7327
Fax: (316) 858-1556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 55020 Kansas

Profile Details

NPI number 1780664938
LBN Legal business name Mcdorman, Kimberly
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2006
Last updated Mar 24th, 2009 - about 16 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 1780664938 NPPES
Kansas Other 145029 BCBS
Kansas MEDICAID 100405810C BCBS
Kansas Other P00153681 BCBS

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