Radai, Kimberly Jean

Radai, Kimberly Jean is an individual health care provider with primary practice located at 1020 New River Pkwy Ste 200 , Fallon NV 89406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Radai, Kimberly Jean can be contacted via phone (775) 428-2633.

Contact Information

Primary practice address
1020 New River Pkwy Ste 200 Fallon NV 89406
Phone: (775) 428-2633
Fax: (775) 428-2630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA880 Nevada

Profile Details

NPI number 1174585517
LBN Legal business name Radai, Kimberly Jean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jun 22nd, 2018 - about 6 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 1174585517 NPPES
Nevada MEDICAID 1174585517

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