Thomas, Kimberly Dawn

Thomas, Kimberly Dawn is an individual health care provider with primary practice located at 101 Elm Ave Se , Roanoke VA 24013-2222. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Nursing Service Providers / Registered Nurse, Nursing Service Providers / Wound Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is her primary health care specialty. Thomas, Kimberly Dawn can be contacted via phone (540) 224-4325.

Contact Information

Primary practice address
101 Elm Ave Se Roanoke VA 24013-2222
Phone: (540) 224-4325
Fax: (540) 224-4399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 0024183837 Virginia
Nursing Service Providers / Registered Nurse 163W00000X RN60835018 Washington
Nursing Service Providers / Wound Care 163WW0000X 0001185685 Virginia
Nursing Service Providers / Wound Care 163WW0000X AP60835055 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60835055 Washington

Profile Details

NPI number 1619399631
LBN Legal business name Thomas, Kimberly Dawn
Credentials DNP, RN, CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2014
Last updated Apr 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619399631 NPPES
Washington MEDICAID 2135115

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