Redman, Kimberly L.
Redman, Kimberly L. is an individual health care provider with primary practice located at 1605 Martin Springs Dr , Rolla MO 65401-2931. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Redman, Kimberly L. can be contacted via phone (417) 533-6010.Contact Information
Primary practice address
1605 Martin Springs Dr
Rolla MO 65401-2931
Phone: (417) 533-6010
Fax: (417) 533-6173
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2001004539 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 2010034566 | Missouri |
Profile Details
NPI number | 1366510448 |
---|---|
LBN Legal business name | Redman, Kimberly L. |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 30th, 2006 |
Last updated | Oct 24th, 2011 - about 14 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 | 1366510448 | NPPES |
Other | 431560263 | TRICARE | |
MEDICAID | 1366510448 | TRICARE | |
Other | 970019029 | TRICARE |
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