King, Kimberlie

King, Kimberlie is an individual health care provider with primary practice located at 2364 Washington St , Newton MA 02462-1440. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. King, Kimberlie can be contacted via phone (617) 332-2047.

Contact Information

Primary practice address
2364 Washington St Newton MA 02462-1440
Phone: (617) 332-2047
Fax: (617) 332-7341
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 7561 Massachusetts

Profile Details

NPI number 1003887696
LBN Legal business name King, Kimberlie
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Apr 10th, 2008 - about 16 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 1003887696 NPPES
Massachusetts Other W06005 BLUE CROSS BLUE SHIELD

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