Molik, Kimberly Anne
Molik, Kimberly Anne is an individual health care provider with primary practice located at 800 E Carpenter St , Springfield IL 62702-5324. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as her primary health care specialty. Molik, Kimberly Anne can be contacted via phone (217) 757-6535.Contact Information
Primary practice address
800 E Carpenter St
Springfield IL 62702-5324
Phone: (217) 757-6535
Fax: (217) 757-6536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 036136401 | Illinois |
Profile Details
| NPI number | 1164422622 |
|---|---|
| LBN Legal business name | Molik, Kimberly Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2005 |
| Last updated | Jan 28th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164422622 | NPPES |
| Kansas | MEDICAID | 200330000A |
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