Provider Demographics
NPI: | 1508098385 |
---|---|
Name: | HOSE, KIMBERLY C (MT) |
Entity Type: | Individual |
Prefix: | MS |
First Name: | KIMBERLY |
Middle Name: | C |
Last Name: | HOSE |
Suffix: | |
Gender: | F |
Credentials: | MT |
Other - Prefix: | |
Other - First Name: | KIMBERLY |
Other - Middle Name: | C |
Other - Last Name: | ROBINSON |
Other - Suffix: | |
Other - Last Name Type: | Former Name |
Other - Credentials: | MT |
Mailing Address - Street 1: | 825 NE AARON DR |
Mailing Address - Street 2: | |
Mailing Address - City: | LEES SUMMIT |
Mailing Address - State: | MO |
Mailing Address - Zip Code: | 64086-4939 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 816-525-3639 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 825 NE AARON DR |
Practice Address - Street 2: | |
Practice Address - City: | LEES SUMMIT |
Practice Address - State: | MO |
Practice Address - Zip Code: | 64086-4939 |
Practice Address - Country: | US |
Practice Address - Phone: | 816-525-3639 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2009-08-13 |
Last Update Date: | 2009-08-13 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 246QM0706X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Pathology | Medical Technologist |
No | 246QB0000X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Pathology | Blood Banking |
No | 246QC1000X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Pathology | Chemistry |
No | 246QH0000X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Pathology | Hematology |
No | 246QI0000X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Pathology | Immunology |
No | 246QL0900X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Pathology | Laboratory Management |
No | 246QM0900X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Pathology | Microbiology |