Cornish, Kim Ann
Cornish, Kim Ann is an sole proprietor health care provider with primary practice located at 8788 Elk Grove Blvd. Bldg. 2, Ste F, Elk Grove CA 95624. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cornish, Kim Ann can be contacted via phone (530) 514-1066.Contact Information
Primary practice address
8788 Elk Grove Blvd. Bldg. 2, Ste F
Elk Grove CA 95624
Phone: (530) 514-1066
Fax: (916) 687-3140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY18648 | California |
Profile Details
| NPI number | 1922176551 |
|---|---|
| LBN Legal business name | Cornish, Kim Ann |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Aug 14th, 2018 - about 6 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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