Fahey, Kimberly
Fahey, Kimberly is an individual health care provider with primary practice located at 711 Troy Schenectady Rd Suite 216, Latham NY 12110-2442. 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. Fahey, Kimberly can be contacted via phone (518) 786-1665.Contact Information
Primary practice address
711 Troy Schenectady Rd Suite 216
Latham NY 12110-2442
Phone: (518) 786-1665
Fax: (518) 785-0056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 024142-1 | New York |
Profile Details
| NPI number | 1134185630 |
|---|---|
| LBN Legal business name | Fahey, Kimberly |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2006 |
| Last updated | Jan 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134185630 | NPPES |
| New York | MEDICAID | 02726438 | |
| New York | Other | RA9216 |
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