Comfort, Kimberlee Ann

Comfort, Kimberlee Ann is an individual health care provider with primary practice located at 1405 Silver Lake Rd Nw , New Brighton MN 55112-9301. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Comfort, Kimberlee Ann can be contacted via phone (651) 633-4532.

Contact Information

Primary practice address
1405 Silver Lake Rd Nw New Brighton MN 55112-9301
Fax: (651) 633-9311
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3043 Minnesota

Profile Details

NPI number 1033354154
LBN Legal business name Comfort, Kimberlee Ann
Credentials MA, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2008
Last updated Dec 3rd, 2008 - about 17 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 1033354154 NPPES
Minnesota MEDICAID 661319500
Minnesota Other 58053
Minnesota Other 62-68366

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