Concra, Kimberly Michelle
Concra, Kimberly Michelle is an sole proprietor health care provider with primary practice located at 902 Route 134 Building 1-4, South Dennis MA 02660. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutritionist. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Concra, Kimberly Michelle can be contacted via phone (508) 258-5923.Contact Information
Primary practice address
902 Route 134 Building 1-4
South Dennis MA 02660
Phone: (508) 258-5923
Fax: (855) 710-7222
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | 887 | Massachusetts |
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 887 | Massachusetts |
Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | 887 | Massachusetts |
Profile Details
NPI number | 1316789472 |
---|---|
LBN Legal business name | Concra, Kimberly Michelle |
Credentials | LDN |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 10th, 2024 |
Last updated | Jun 10th, 2024 - about last year |
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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