Cunningham, Kimberly Laquerre

Cunningham, Kimberly Laquerre is an individual health care provider with primary practice located at 7 Elm St Suite 204, Enfield CT 06082-3669. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Cunningham, Kimberly Laquerre can be contacted via phone (860) 741-2242.

Contact Information

Primary practice address
7 Elm St Suite 204 Enfield CT 06082-3669
Phone: (860) 741-2242
Fax: (860) 741-2248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 007675 Connecticut

Profile Details

NPI number 1548273485
LBN Legal business name Cunningham, Kimberly Laquerre
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Nov 21st, 2013 - about 11 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 1548273485 NPPES
Connecticut MEDICAID 004251211

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