Hansen, Kimberly Stacie

Hansen, Kimberly Stacie is an individual health care provider with primary practice located at 13400 Pipeline Ave , Chino CA 91710-4959. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Hansen, Kimberly Stacie can be contacted via phone (909) 591-3902.

Contact Information

Primary practice address
13400 Pipeline Ave Chino CA 91710-4959
Phone: (909) 591-3902
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1144331000
LBN Legal business name Hansen, Kimberly Stacie
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 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.

Request for update

Popular Providers