Spears, Kimberly
Spears, Kimberly is an sole proprietor health care provider with primary practice located at 1902 Judith Ln Suite 110, Boise ID 83705-5235. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Spears, Kimberly can be contacted via phone (208) 658-0800.Contact Information
Primary practice address
1902 Judith Ln Suite 110
Boise ID 83705-5235
Phone: (208) 658-0800
Fax: (208) 323-1894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 17148A | Idaho |
Profile Details
| NPI number | 1558564138 |
|---|---|
| LBN Legal business name | Spears, Kimberly |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2007 |
| Last updated | Jan 28th, 2010 - 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.
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