Kimble-Goodman, Barbara

Kimble-Goodman, Barbara is an individual health care provider with primary practice located at 95 Thomaston Ave , Waterbury CT 06702-1007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kimble-Goodman, Barbara can be contacted via phone (203) 805-5300.

Contact Information

Primary practice address
95 Thomaston Ave Waterbury CT 06702-1007
Phone: (203) 805-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 003974 Connecticut

Profile Details

NPI number 1780997601
LBN Legal business name Kimble-Goodman, Barbara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2010
Last updated Jul 20th, 2010 - about 14 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 1780997601 NPPES
Connecticut Other 003974 APRN LICENSE

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