Squires, Kimberly S

Squires, Kimberly S is an individual health care provider with primary practice located at 10320 Mallard Creek Rd Ste 240, Charlotte NC 28262-9756. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Squires, Kimberly S can be contacted via phone (704) 886-8703.

Contact Information

Primary practice address
10320 Mallard Creek Rd Ste 240 Charlotte NC 28262-9756
Phone: (704) 886-8703
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2008001301 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 218478 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2014029878 North Carolina

Profile Details

NPI number 1871735068
LBN Legal business name Squires, Kimberly S
Credentials FNP-C; PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2009
Last updated Jul 22nd, 2016 - about 9 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 1871735068 NPPES
North Carolina Other 5004974 ETN P97980

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