Hayes, Kimberly Crockett

Hayes, Kimberly Crockett is an sole proprietor health care provider with primary practice located at 2465 Canopy Gln , Marietta GA 30066-1541. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Hayes, Kimberly Crockett can be contacted via phone (770) 517-2480.

Contact Information

Primary practice address
2465 Canopy Gln Marietta GA 30066-1541
Fax: (770) 592-9431
Website:

Profile Details

NPI number 1730359738
LBN Legal business name Hayes, Kimberly Crockett
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2008
Last updated Mar 5th, 2008 - about 16 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 1730359738 NPPES
Georgia Other 928 OCCUPATIONAL LICENSE

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