Nord, Kimberly

Nord, Kimberly is an individual health care provider with primary practice located at 1405 Eastland Dr , Bloomington IL 61701-3514. 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. Nord, Kimberly can be contacted via phone (309) 661-2400.

Contact Information

Primary practice address
1405 Eastland Dr Bloomington IL 61701-3514
Phone: (309) 661-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 041278022 Illinois

Profile Details

NPI number 1396789210
LBN Legal business name Nord, Kimberly
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Aug 25th, 2010 - about 14 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 1396789210 NPPES
Other 833120 MEDICAE GROUP #

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