Reynolds, Kimberly

Reynolds, Kimberly is an individual health care provider with primary practice located at 1400 S Coulter St , Amarillo TX 79106-1786. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Reynolds, Kimberly can be contacted via phone (806) 354-5630.

Contact Information

Primary practice address
1400 S Coulter St Amarillo TX 79106-1786
Phone: (806) 354-5630
Fax: (806) 354-5689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 502136 Texas
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 502136 Texas

Profile Details

NPI number 1205868411
LBN Legal business name Reynolds, Kimberly
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jun 27th, 2014 - about 10 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 1205868411 NPPES
New Mexico MEDICAID 55522386
New Mexico MEDICAID 096183102
New Mexico MEDICAID 096183103
New Mexico MEDICAID 200061520 A

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