Collard, Kimberly Ann
Collard, Kimberly Ann is an sole proprietor health care provider with primary practice located at 100 Colosseo Cir , Las Cruces NM 88012-9309. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Collard, Kimberly Ann can be contacted via phone (575) 993-8092.Contact Information
Primary practice address
100 Colosseo Cir
Las Cruces NM 88012-9309
Phone: (575) 993-8092
Fax: (866) 528-1211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Health Educator | 174H00000X | 2822 | New Mexico |
Profile Details
| NPI number | 1376821959 |
|---|---|
| LBN Legal business name | Collard, Kimberly Ann |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2011 |
| Last updated | Jul 29th, 2011 - about 14 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 | 1376821959 | NPPES |
| New Mexico | Other | 2822 | OCCUPATIONAL THERAPY BOARD LICENSE |
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