Conrad, Kimberly Anne
Conrad, Kimberly Anne is an sole proprietor health care provider with primary practice located at 100 1St Ave Sw , Waucoma IA 52171-9705. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Conrad, Kimberly Anne can be contacted via phone (563) 776-4060.Contact Information
Primary practice address
100 1St Ave Sw
Waucoma IA 52171-9705
Phone: (563) 776-4060
Fax: (563) 776-4061
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X | 351029 | Iowa |
Profile Details
| NPI number | 1619054764 |
|---|---|
| LBN Legal business name | Conrad, Kimberly Anne |
| Credentials | SED |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619054764 | NPPES |
| Iowa | MEDICAID | 1012617 |
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