Mckissack, Kimberly

Mckissack, Kimberly is an sole proprietor health care provider with primary practice located at 100 Emancipation Dr , Hampton VA 23667-3302. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Mckissack, Kimberly can be contacted via phone (757) 722-9961.

Contact Information

Primary practice address
100 Emancipation Dr Hampton VA 23667-3302
Phone: (757) 722-9961
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 0024173116 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024173116 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X APN0000018429 Tennessee

Profile Details

NPI number 1720490386
LBN Legal business name Mckissack, Kimberly
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2014
Last updated Aug 20th, 2023 - about 2 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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