Nelson, Kimberly Kay

Nelson, Kimberly Kay is an individual health care provider with primary practice located at 555 W State Road 434 , Longwood FL 32750-5119. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Nelson, Kimberly Kay can be contacted via phone (321) 842-2994.

Contact Information

Primary practice address
555 W State Road 434 Longwood FL 32750-5119
Phone: (321) 842-2994
Fax: (407) 767-5801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP1803702 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP1803702 Florida

Profile Details

NPI number 1689114050
LBN Legal business name Nelson, Kimberly Kay
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2017
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689114050 NPPES
Florida MEDICAID 021438200

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