Shimp, Kathleen E

Shimp, Kathleen E is an individual health care provider with primary practice located at 9021 Park Royal Dr , Fort Myers FL 33908-9617. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Shimp, Kathleen E can be contacted via phone (239) 432-5858.

Contact Information

Primary practice address
9021 Park Royal Dr Fort Myers FL 33908-9617
Fax: (239) 482-6297
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME93181 Florida

Profile Details

NPI number 1134128259
LBN Legal business name Shimp, Kathleen E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Oct 24th, 2017 - about 7 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 1134128259 NPPES
Florida MEDICAID 272771400
Florida Other 41731

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