Phillips, Kimberly
Phillips, Kimberly is an individual health care provider with primary practice located at 1941 Johnson Suite 301, San Luis Obispo CA 93401-4175. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Phillips, Kimberly can be contacted via phone (805) 739-3474.Contact Information
Primary practice address
1941 Johnson Suite 301
San Luis Obispo CA 93401-4175
Phone: (805) 739-3474
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 10541 | California |
Profile Details
NPI number | 1790705937 |
---|---|
LBN Legal business name | Phillips, Kimberly |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 20th, 2006 |
Last updated | Jan 25th, 2017 - about 8 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 | 1790705937 | NPPES |
California | Other | CB220902 | MEDICARE ID |
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