Agatucci, Kimberly Fae
Agatucci, Kimberly Fae is an individual health care provider with primary practice located at 120 William Penn Plz , Durham NC 27704-2150. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Agatucci, Kimberly Fae can be contacted via phone (919) 220-5255.Contact Information
Primary practice address
120 William Penn Plz
Durham NC 27704-2150
Phone: (919) 220-5255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 8687 | North Carolina |
Profile Details
| NPI number | 1366623829 |
|---|---|
| LBN Legal business name | Agatucci, Kimberly Fae |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 26th, 2007 |
| Last updated | Dec 2nd, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366623829 | NPPES |
| North Carolina | Other | P8687 | PT LICENSE |
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