Kimble, David Fisher

Kimble, David Fisher is an individual health care provider with primary practice located at 20 Research Pkwy , Old Saybrook CT 06475-4214. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Kimble, David Fisher can be contacted via phone (800) 370-3651.

Contact Information

Primary practice address
20 Research Pkwy Old Saybrook CT 06475-4214
Fax: (860) 510-0020
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 239643 Massachusetts

Profile Details

NPI number 1457426058
LBN Legal business name Kimble, David Fisher
Credentials RN CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Nov 26th, 2007 - about 17 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 1457426058 NPPES
Other 1004745 NHP
Other 1303287 NHP
Other 703136 NHP
Other NP10332 NHP
Other CP0110 NHP
Other NS045901 NHP
MEDICAID 1303287 NHP
Other 99618201 NHP
Other M18633 NHP

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