Broussard, Kimberly R
Broussard, Kimberly R is an individual health care provider with primary practice located at 263 Spring Hollow Dr , Las Vegas NV 89148-2502. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Broussard, Kimberly R can be contacted via phone (702) 807-1718.Contact Information
Primary practice address
263 Spring Hollow Dr
Las Vegas NV 89148-2502
Phone: (702) 807-1718
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1801166848 |
|---|---|
| LBN Legal business name | Broussard, Kimberly R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2012 |
| Last updated | Jan 6th, 2012 - about 13 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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