Nelson, Kimberly A
Nelson, Kimberly A is an individual health care provider with primary practice located at 550 S Landmark Ave , Bloomington IN 47403-3239. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Nelson, Kimberly A can be contacted via phone (812) 355-3299.Contact Information
Primary practice address
550 S Landmark Ave
Bloomington IN 47403-3239
Phone: (812) 355-3299
Fax: (812) 355-3290
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71000261A | Indiana |
Profile Details
| NPI number | 1174583421 |
|---|---|
| LBN Legal business name | Nelson, Kimberly A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Dec 18th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174583421 | NPPES |
| Indiana | MEDICAID | 200280390 |
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