Wahl, Kimberly

Wahl, Kimberly is an individual health care provider with primary practice located at 200 S Houston Lake Rd , Warner Robins GA 31088-9006. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wahl, Kimberly can be contacted via phone (478) 953-6727.

Contact Information

Primary practice address
200 S Houston Lake Rd Warner Robins GA 31088-9006
Phone: (478) 953-6727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN208988 Georgia

Profile Details

NPI number 1700267994
LBN Legal business name Wahl, Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2015
Last updated Jun 12th, 2015 - about 9 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 1700267994 NPPES
Georgia Other F0515490 CERTIFICATION NUMBER (AMERICAN ACADEMY NURSE PRACTITIONERS)
Georgia Other RN208988 CERTIFICATION NUMBER (AMERICAN ACADEMY NURSE PRACTITIONERS)

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