Blaney, Kimberly M.

Blaney, Kimberly M. is an individual health care provider with primary practice located at 106 Gilman St , Portland ME 04102-3034. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Blaney, Kimberly M. can be contacted via phone (207) 874-1087.

Contact Information

Primary practice address
106 Gilman St Portland ME 04102-3034
Phone: (207) 874-1087
Fax: (207) 553-9236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CC1140 Maine

Profile Details

NPI number 1558426676
LBN Legal business name Blaney, Kimberly M.
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jun 22nd, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558426676 NPPES
Maine MEDICAID 254590099

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