Bodden, Kimberly Easley
Bodden, Kimberly Easley is an individual health care provider with primary practice located at 104 S Spruce St , Hammond LA 70403-4136. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Bodden, Kimberly Easley can be contacted via phone (985) 542-1997.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 5561 | Louisiana |
Profile Details
| NPI number | 1235260639 |
|---|---|
| LBN Legal business name | Bodden, Kimberly Easley |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jul 8th, 2009 - about 16 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 | 1235260639 | NPPES |
| Louisiana | MEDICAID | 1855618 |
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