Kimball, Benita

Kimball, Benita is an individual health care provider with primary practice located at 1329 Howe Ave Ste 101 , Sacramento CA 95825-3363. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter is her primary health care specialty. Kimball, Benita can be contacted via phone (916) 480-9501.

Contact Information

Primary practice address
1329 Howe Ave Ste 101 Sacramento CA 95825-3363
Phone: (916) 480-9501
Fax: (510) 350-9166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X C52184 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter 224900000X C52184 California

Profile Details

NPI number 1053789602
LBN Legal business name Kimball, Benita
Credentials CMF
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2015
Last updated Feb 27th, 2024 - about 9 months 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 1053789602 NPPES
California Other C52184 BOC

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