Schlack, Kimberly

Schlack, Kimberly is an individual health care provider with primary practice located at 7901 Frost St , San Diego CA 92123-2701. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Schlack, Kimberly can be contacted via phone (619) 295-0964.

Contact Information

Primary practice address
7901 Frost St San Diego CA 92123-2701
Phone: (619) 295-0964
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G66603 California
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X G66603 California

Profile Details

NPI number 1225090798
LBN Legal business name Schlack, Kimberly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jul 9th, 2007 - about 18 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 1225090798 NPPES
California MEDICAID 00G666030

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