Conklin, Kim Marie

Conklin, Kim Marie is an individual health care provider with primary practice located at 6926 Hills Dr , New Port Richey FL 34653-2710. 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. Conklin, Kim Marie can be contacted via phone (727) 848-6747.

Contact Information

Primary practice address
6926 Hills Dr New Port Richey FL 34653-2710
Phone: (727) 848-6747
Fax: (727) 847-3107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT 17809 Florida

Profile Details

NPI number 1235201450
LBN Legal business name Conklin, Kim Marie
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated May 7th, 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 1235201450 NPPES
Florida MEDICAID 884978100
Florida Other Y0408

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