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:
Health care specialties
Specialty | Code | License # | 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 last year |
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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