Carroll, Kimberly M

Carroll, Kimberly M is an individual health care provider with primary practice located at 120 N 2Nd St Ste A , Fernandina Beach FL 32034-4192. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Carroll, Kimberly M can be contacted via phone (904) 761-8397.

Contact Information

Primary practice address
120 N 2Nd St Ste A Fernandina Beach FL 32034-4192
Phone: (904) 761-8397
Fax: (949) 404-6217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL2978 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT26306 Florida

Profile Details

NPI number 1407181191
LBN Legal business name Carroll, Kimberly M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2009
Last updated Nov 30th, 2022 - 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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