Landroche, Kimberly Dawn

Landroche, Kimberly Dawn is an individual health care provider with primary practice located at 2972 W Talara Ln , Tucson AZ 85742-4809. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Landroche, Kimberly Dawn can be contacted via phone (520) 406-5196.

Contact Information

Primary practice address
2972 W Talara Ln Tucson AZ 85742-4809
Fax: (520) 721-0069
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1316096563
LBN Legal business name Landroche, Kimberly Dawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 18 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 1316096563 NPPES
Arizona MEDICAID 893249

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