Peck, Kimberly A
Peck, Kimberly A is an individual health care provider with primary practice located at 550 Washington St Ste 641 , San Diego CA 92103-2229. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Peck, Kimberly A can be contacted via phone (619) 299-2600.Contact Information
Primary practice address
550 Washington St Ste 641
San Diego CA 92103-2229
Phone: (619) 299-2600
Fax: (619) 299-3923
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 33630 | Arizona |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 33630 | Arizona |
Profile Details
| NPI number | 1215018403 |
|---|---|
| LBN Legal business name | Peck, Kimberly A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Aug 20th, 2014 - about 11 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 | 1215018403 | NPPES |
| Arizona | MEDICAID | 954075 |
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