Drakes, Kimberly O
Drakes, Kimberly O is an sole proprietor health care provider with primary practice located at 1131 West St Bldg 2, Southington CT 06489-6006. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Drakes, Kimberly O can be contacted via phone (860) 276-6800.Contact Information
Primary practice address
1131 West St Bldg 2
Southington CT 06489-6006
Phone: (860) 276-6800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 000285 | Connecticut |
Profile Details
| NPI number | 1316373665 |
|---|---|
| LBN Legal business name | Drakes, Kimberly O |
| Credentials | LNM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 18th, 2013 |
| Last updated | Sep 18th, 2013 - about 12 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 | 1316373665 | NPPES |
| Other | 000285 | LICENSE |
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