Kristoff, Kimberly A
Kristoff, Kimberly A is an sole proprietor health care provider with primary practice located at 861 E 209Th St , Euclid OH 44119-2405. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Agencies / Home Health. Other Service Providers / Peer Specialist is her primary health care specialty. Kristoff, Kimberly A can be contacted via phone (216) 548-6294.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | ||
| Agencies / Home Health | 251E00000X |
Profile Details
| NPI number | 1104435403 |
|---|---|
| LBN Legal business name | Kristoff, Kimberly A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2020 |
| Last updated | May 28th, 2024 - about 6 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104435403 | NPPES |
| Ohio | MEDICAID | 0367443 |
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