Kimpton, Jon

Kimpton, Jon is an sole proprietor health care provider with primary practice located at 481A Kingstown Rd , Wakefield RI 02879-3607. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Kimpton, Jon can be contacted via phone (401) 789-2306.

Contact Information

Primary practice address
481A Kingstown Rd Wakefield RI 02879-3607
Phone: (401) 789-2306
Fax: (401) 789-2307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PS00701 Rhode Island
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS00701 Rhode Island

Profile Details

NPI number 1134136963
LBN Legal business name Kimpton, Jon
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Jul 8th, 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 1134136963 NPPES
Rhode Island Other 408420 BLUE CHIP
Rhode Island MEDICAID JK31307 BLUE CHIP
Rhode Island Other PS00701 BLUE CHIP
Rhode Island Other 23359-0 BLUE CHIP
Rhode Island Other 61-59401 BLUE CHIP
Rhode Island Other 0500760 BLUE CHIP

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