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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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 1790705937 NPPES
California Other CB220902 MEDICARE ID

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