Hanson, Kimm Gloria
Hanson, Kimm Gloria is an sole proprietor health care provider with primary practice located at 2490 W Yowell Ct Unit 49 , Yuma AZ 85364-1735. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Hanson, Kimm Gloria can be contacted via phone (928) 539-9298.Contact Information
Primary practice address
2490 W Yowell Ct Unit 49
Yuma AZ 85364-1735
Phone: (928) 539-9298
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 11133 | Arizona |
Profile Details
| NPI number | 1730242769 |
|---|---|
| LBN Legal business name | Hanson, Kimm Gloria |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730242769 | NPPES |
| Arizona | MEDICAID | 085948 |
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