Cowan, Kimberly Marie

Cowan, Kimberly Marie is an individual health care provider with primary practice located at 16 Town Crier Dr , Brattleboro VT 05301-8669. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Cowan, Kimberly Marie can be contacted via phone (802) 258-4623.

Contact Information

Primary practice address
16 Town Crier Dr Brattleboro VT 05301-8669
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 026-0026607 Vermont

Profile Details

NPI number 1942413703
LBN Legal business name Cowan, Kimberly Marie
Credentials RN, BSN
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942413703 NPPES
Vermont MEDICAID 1013103

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