Godin, Kimberly Nicole
Godin, Kimberly Nicole is an sole proprietor health care provider with primary practice located at 82 New Park Ave , North Franklin CT 06254-1807. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Godin, Kimberly Nicole can be contacted via phone (860) 889-7345.Contact Information
Primary practice address
82 New Park Ave
North Franklin CT 06254-1807
Phone: (860) 889-7345
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X |
Profile Details
| NPI number | 1639794043 |
|---|---|
| LBN Legal business name | Godin, Kimberly Nicole |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2020 |
| Last updated | Jun 11th, 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 | 1639794043 | NPPES |
| Connecticut | MEDICAID | C00123 | |
| Connecticut | MEDICAID | 004002358 |
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