Bright, Kim Leah
Bright, Kim Leah is an sole proprietor health care provider with primary practice located at 4026 White Star Way , Ellicott City MD 21042-5008. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Bright, Kim Leah can be contacted via phone (410) 465-7669.Contact Information
Primary practice address
4026 White Star Way
Ellicott City MD 21042-5008
Phone: (410) 465-7669
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | D43393 | Maryland |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | D43393 | Maryland |
Profile Details
NPI number | 1972716686 |
---|---|
LBN Legal business name | Bright, Kim Leah |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 8th, 2007 |
Last updated | May 14th, 2012 - about 12 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 | 1972716686 | NPPES |
Maryland | MEDICAID | 216301200 |
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