Prater, Kimberley

Prater, Kimberley is an individual health care provider with primary practice located at 3850 S National Ave Suite 300, Springfield MO 65807-5287. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Prater, Kimberley can be contacted via phone (417) 269-6170.

Contact Information

Primary practice address
3850 S National Ave Suite 300 Springfield MO 65807-5287
Phone: (417) 269-6170
Fax: (417) 269-6992
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 36418 Missouri

Profile Details

NPI number 1336109990
LBN Legal business name Prater, Kimberley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jun 3rd, 2010 - about 15 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 1336109990 NPPES
Missouri Other 1256 BLUE
Missouri Other P00807644 BLUE
Missouri Other 300035139 BLUE
Missouri MEDICAID 202564407 BLUE
Missouri MEDICAID 116201001 BLUE

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