Phillips, Kimberly Anne

Phillips, Kimberly Anne is an sole proprietor health care provider with primary practice located at 7670 W Sahara Ave Ste 2 , Las Vegas NV 89117-2751. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Phillips, Kimberly Anne can be contacted via phone (702) 457-7400.

Contact Information

Primary practice address
7670 W Sahara Ave Ste 2 Las Vegas NV 89117-2751
Phone: (702) 457-7400
Fax: (702) 457-7401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 3515178900 Utah
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 3515174405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN001449 Nevada

Profile Details

NPI number 1497786933
LBN Legal business name Phillips, Kimberly Anne
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
Last updated Mar 7th, 2023 - about last year

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 1497786933 NPPES
Other 2005004619-28 ANCC NATIONAL CREDENTIAL
Other 351517-4405 ANCC NATIONAL CREDENTIAL
Other CS20659 ANCC NATIONAL CREDENTIAL
MEDICAID 1497786933 ANCC NATIONAL CREDENTIAL
Other APRN001449 ANCC NATIONAL CREDENTIAL
Other 351517-8900 ANCC NATIONAL CREDENTIAL

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