Tankasali, Kimberly D

Tankasali, Kimberly D is an individual health care provider with primary practice located at 97 W Parkway , Pompton Plains NJ 07444-1647. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Tankasali, Kimberly D can be contacted via phone (973) 831-5446.

Contact Information

Primary practice address
97 W Parkway Pompton Plains NJ 07444-1647
Phone: (973) 831-5446
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 010698 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 25MP00145300 New Jersey

Profile Details

NPI number 1417061870
LBN Legal business name Tankasali, Kimberly D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Oct 2nd, 2012 - about 12 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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