Kennedy, Kimberly Anne

Kennedy, Kimberly Anne is an individual health care provider with primary practice located at 1120 Gordon Ln , Santa Rosa CA 95404-5636. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Kennedy, Kimberly Anne can be contacted via phone (707) 527-3249.

Contact Information

Primary practice address
1120 Gordon Ln Santa Rosa CA 95404-5636
Phone: (707) 527-3249
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1215456611
LBN Legal business name Kennedy, Kimberly Anne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2017
Last updated Sep 17th, 2017 - about 8 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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