Crowe, Kim
Crowe, Kim is an individual health care provider with primary practice located at 1305 Jennings Mill Rd Ste 170 , Watkinsville GA 30677-0037. 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. Crowe, Kim can be contacted via phone (706) 552-1920.Contact Information
Primary practice address
1305 Jennings Mill Rd Ste 170
Watkinsville GA 30677-0037
Phone: (706) 552-1920
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT001269 | Georgia |
Profile Details
| NPI number | 1356404933 |
|---|---|
| LBN Legal business name | Crowe, Kim |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Feb 19th, 2020 - about 4 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 | 1356404933 | NPPES |
| Georgia | MEDICAID | 863117764A |
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