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Individual

KIM BANKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
634 ALPHA DR, SUITE 600, PITTSBURGH, PA 15238-2802
(610) 892-8991
Mailing address
634 ALPHA DR, SUITE 600, PITTSBURGH, PA 15238-2802
(610) 892-8991

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP008803
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SP008803
LICENSE
PA
Enumeration date
07/20/2006
Last updated
05/15/2014
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