Kol, Kimberly Lawrence

Kol, Kimberly Lawrence is an sole proprietor health care provider with primary practice located at 2945 Route 5 , East Thetford VT 05043. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kol, Kimberly Lawrence can be contacted via phone (802) 356-3506.

Contact Information

Primary practice address
2945 Route 5 East Thetford VT 05043
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 844 Vermont
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1272 New Hampshire

Profile Details

NPI number 1669555116
LBN Legal business name Kol, Kimberly Lawrence
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
Last updated Nov 23rd, 2015 - about 10 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 1669555116 NPPES
Vermont MEDICAID 1010974

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