Fairgrief, Kimberly Rae

Fairgrief, Kimberly Rae is an individual health care provider with primary practice located at 2914 Cold Springs Rd Suite A, Placerville CA 95667-4220. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Fairgrief, Kimberly Rae can be contacted via phone (530) 642-1715.

Contact Information

Primary practice address
2914 Cold Springs Rd Suite A Placerville CA 95667-4220
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4715 California

Profile Details

NPI number 1891974465
LBN Legal business name Fairgrief, Kimberly Rae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2007
Last updated Oct 30th, 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 1891974465 NPPES
California Other 4715 CAS

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