Bourque, Kimberly

Bourque, Kimberly is an sole proprietor health care provider with primary practice located at 108A North Main Street , Sunderland MA 01375-9502. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Bourque, Kimberly can be contacted via phone (413) 665-8717.

Contact Information

Primary practice address
108A North Main Street Sunderland MA 01375-9502
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1174994552
LBN Legal business name Bourque, Kimberly
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2015
Last updated Oct 12th, 2015 - 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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