Castle, Kimberly Bodnar
Castle, Kimberly Bodnar is an individual health care provider with primary practice located at 1100 Old Dawson Village Rd E Ste 10 , Dawsonville GA 30534-3807. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Castle, Kimberly Bodnar can be contacted via phone (608) 526-9888.Contact Information
Primary practice address
1100 Old Dawson Village Rd E Ste 10
Dawsonville GA 30534-3807
Phone: (608) 526-9888
Fax: (608) 526-9865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT011273 | Georgia |
Profile Details
| NPI number | 1508092644 |
|---|---|
| LBN Legal business name | Castle, Kimberly Bodnar |
| Credentials | PT, PHD, PCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2009 |
| Last updated | Jul 19th, 2018 - about 7 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 | 1508092644 | NPPES |
| Wisconsin | MEDICAID | 40146300 | |
| Wisconsin | MEDICAID | 1508092644 |
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