Haynes, Kimberly Nicole
Haynes, Kimberly Nicole is an individual health care provider with primary practice located at 435 Warren St , Roxbury MA 02119-1833. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Haynes, Kimberly Nicole can be contacted via phone (617) 442-7400.Contact Information
Primary practice address
435 Warren St
Roxbury MA 02119-1833
Phone: (617) 442-7400
Fax: (617) 442-1409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DL10679 | Massachusetts |
| Dental Providers / Dentist | 122300000X | DN1855488 | Massachusetts |
Profile Details
| NPI number | 1548499742 |
|---|---|
| LBN Legal business name | Haynes, Kimberly Nicole |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2009 |
| Last updated | Jul 22nd, 2010 - about 14 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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