Vitacco, Kim Ann

Vitacco, Kim Ann is an individual health care provider with primary practice located at Kim A Vitacco Anp-C 2 Shelter Harbor Court, Wading River NY 11792-2202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Vitacco, Kim Ann can be contacted via phone (631) 886-1668.

Contact Information

Primary practice address
Kim A Vitacco Anp-C 2 Shelter Harbor Court Wading River NY 11792-2202
Fax: (631) 886-1909
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F303866 New York

Profile Details

NPI number 1912908484
LBN Legal business name Vitacco, Kim Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 18th, 2022 - 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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