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:
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Health care specialties

SpecialtyCodeLicense #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 10 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 1215018403 NPPES
Arizona MEDICAID 954075

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