Peters, Supatha Kimble
Peters, Supatha Kimble is an individual health care provider with primary practice located at 6600 Van Aalst Blvd Bldg 9250 , Fort Benning GA 31905-2102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Peters, Supatha Kimble can be contacted via phone (762) 408-2273.Contact Information
Primary practice address
6600 Van Aalst Blvd Bldg 9250
Fort Benning GA 31905-2102
Phone: (762) 408-2273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024175296 | Virginia |
Profile Details
| NPI number | 1861984445 |
|---|---|
| LBN Legal business name | Peters, Supatha Kimble |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2018 |
| Last updated | Aug 4th, 2022 - about 2 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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