Stober, Kimberly Rae
Stober, Kimberly Rae is an individual health care provider with primary practice located at 1515 Village Dr , Cottage Grove OR 97424-9700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stober, Kimberly Rae can be contacted via phone (541) 767-5200.Contact Information
Primary practice address
1515 Village Dr
Cottage Grove OR 97424-9700
Phone: (541) 767-5200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 201807160NP-PP | Oregon |
Profile Details
| NPI number | 1942781489 |
|---|---|
| LBN Legal business name | Stober, Kimberly Rae |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2018 |
| Last updated | Dec 31st, 2018 - about 6 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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