Standefer, Kimberly

Standefer, Kimberly is an sole proprietor health care provider with primary practice located at 1000 Mar Walt Dr , Fort Walton Beach FL 32547-6708. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Standefer, Kimberly can be contacted via phone (850) 862-1111.

Contact Information

Primary practice address
1000 Mar Walt Dr Fort Walton Beach FL 32547-6708
Phone: (850) 862-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17410 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN229640 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9449571 Florida

Profile Details

NPI number 1992044762
LBN Legal business name Standefer, Kimberly
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2013
Last updated Jan 25th, 2023 - about 2 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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