Bennett, Kimberly Kelly

Bennett, Kimberly Kelly is an individual health care provider with primary practice located at 500 Victory Rd Step One/ South Shore Mental Health, Quincy MA 02171-3139. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Bennett, Kimberly Kelly can be contacted via phone (617) 774-1054.

Contact Information

Primary practice address
500 Victory Rd Step One/ South Shore Mental Health Quincy MA 02171-3139
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1063694016
LBN Legal business name Bennett, Kimberly Kelly
Credentials MS ED.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2007
Last updated Dec 1st, 2007 - about 17 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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