Brantley, Kim Y

Brantley, Kim Y is an sole proprietor health care provider with primary practice located at 32256 Via Arias , Temecula CA 92592-3873. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Lactation Consultant, Non-RN, Nursing Service Related Providers / Doula, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Brantley, Kim Y can be contacted via phone (951) 373-3080.

Contact Information

Primary practice address
32256 Via Arias Temecula CA 92592-3873
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X ALPP-211253 California
Nursing Service Related Providers / Doula 374J00000X 6243 California
Other Service Providers / Specialist 174400000X 88040 California

Profile Details

NPI number 1871828301
LBN Legal business name Brantley, Kim Y
Credentials CLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2009
Last updated May 20th, 2023 - about 2 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 1871828301 NPPES
California Other 88040 MASSAGE THERAPY

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