Venable, Kimberly L
Venable, Kimberly L is an individual health care provider with primary practice located at 519A E Bloomingdale Ave Ste A , Brandon FL 33511-8105. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Venable, Kimberly L can be contacted via phone (813) 655-4100.Contact Information
Primary practice address
519A E Bloomingdale Ave Ste A
Brandon FL 33511-8105
Phone: (813) 655-4100
Fax: (813) 655-1775
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00857 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9110447 | Florida |
Profile Details
NPI number | 1477546000 |
---|---|
LBN Legal business name | Venable, Kimberly L |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 30th, 2005 |
Last updated | Nov 20th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477546000 | NPPES |
Texas | MEDICAID | 284052201 |
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