Ms Kimberly Abigail Ebanks, is a
Licensed Practical Nurse based in Newfane, New York. Ms Kimberly Abigail Ebanks is licensed to practice in New York (license number 334541) and her current practice location is
6372 Hatter Rd Apt 3, Newfane, New York. She can be reached at her office (for appointments etc.) via phone at
(716) 266-5936.
NPI number for Ms Kimberly Abigail Ebanks is 1316404395 and her current mailing address is 6372 Hatter Rd Apt 3, Newfane, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316404395.
Provider's Profile
| Full Name | Ms Kimberly Abigail Ebanks |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
|---|
| Location | 6372 Hatter Rd Apt 3, Newfane, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316404395
- Provider Enumeration Date: 02/26/2019
- Last Update Date: 02/26/2019
Medical Identifiers
Medical identifiers for Ms Kimberly Abigail Ebanks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316404395 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 334541 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kimberly Abigail Ebanks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Kimberly Abigail Ebanks,
6372 Hatter Rd Apt 3,
Newfane, NY 14108-9700
Ph: (716) 266-5936 | Ms Kimberly Abigail Ebanks,
6372 Hatter Rd Apt 3,
Newfane, NY 14108-9700
Ph: (716) 266-5936 |
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