Brucker, Kimberly

Brucker, Kimberly is an individual health care provider with primary practice located at 185 Genesee St , Utica NY 13501-2102. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Brucker, Kimberly can be contacted via phone (315) 798-5249.

Contact Information

Primary practice address
185 Genesee St Utica NY 13501-2102
Phone: (315) 798-5249
Fax: (315) 731-3491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1962825661
LBN Legal business name Brucker, Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2014
Last updated Jan 31st, 2014 - about 10 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 1962825661 NPPES
New York MEDICAID 0474268

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