Kingsmore, Kourtney Marie

Kingsmore, Kourtney Marie is an individual health care provider with primary practice located at 1000 Calle Amanecer , San Clemente CA 92673-6214. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Kingsmore, Kourtney Marie can be contacted via phone (949) 498-5100.

Contact Information

Primary practice address
1000 Calle Amanecer San Clemente CA 92673-6214
Phone: (949) 498-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT304051 California

Profile Details

NPI number 1144093477
LBN Legal business name Kingsmore, Kourtney Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2023
Last updated Oct 30th, 2023 - about 2 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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