Mciltrot, Kimberly

Mciltrot, Kimberly is an sole proprietor health care provider with primary practice located at 600 N Wolfe St , Baltimore MD 21287-0005. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Wound Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mciltrot, Kimberly can be contacted via phone (410) 955-9444.

Contact Information

Primary practice address
600 N Wolfe St Baltimore MD 21287-0005
Phone: (410) 955-9444
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Wound Care 163WW0000X ARNP9453359 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R115446 Maryland

Profile Details

NPI number 1922057066
LBN Legal business name Mciltrot, Kimberly
Credentials C.R.N.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2006
Last updated Jul 21st, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922057066 NPPES
Florida MEDICAID 020717600
Florida MEDICAID 403693000

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