Johnson, Kimberly Renee
Johnson, Kimberly Renee is an sole proprietor health care provider with primary practice located at 5645 Danvers Rd , Portsmouth VA 23703-3730. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist, which is considered as her primary health care specialty. Johnson, Kimberly Renee can be contacted via phone (804) 368-9767.Contact Information
Primary practice address
5645 Danvers Rd
Portsmouth VA 23703-3730
Phone: (804) 368-9767
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist | 224Y00000X | 901698244 | Virginia |
Profile Details
| NPI number | 1255940698 |
|---|---|
| LBN Legal business name | Johnson, Kimberly Renee |
| Credentials | EP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2020 |
| Last updated | Jul 30th, 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 | 1255940698 | NPPES |
| Virginia | Other | 901698244 | ACSM - AMERICAN COLLEGE OF SPORTS MEDICINE |
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