Kimball, Nicole Athena

Kimball, Nicole Athena is an individual health care provider with primary practice located at 1313 W Park Street Suite # 7, Livingston MT 59047. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kimball, Nicole Athena can be contacted via phone (406) 222-5519.

Contact Information

Primary practice address
1313 W Park Street Suite # 7 Livingston MT 59047
Phone: (406) 222-5519
Fax: (406) 222-0366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1877 Montana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0193081 New York

Profile Details

NPI number 1437218856
LBN Legal business name Kimball, Nicole Athena
Credentials MS PT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jul 8th, 2007 - about 18 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 1437218856 NPPES
Other P00122746 RAILROAD MEDICARE
Other 60503 RAILROAD MEDICARE
MEDICAID 3400826 RAILROAD MEDICARE
Other MSF1250520 RAILROAD MEDICARE

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