Lane, Kimberly J

Lane, Kimberly J is an individual health care provider with primary practice located at 320 Pomfret St , Putnam CT 06260-1836. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Lane, Kimberly J can be contacted via phone (860) 928-6541.

Contact Information

Primary practice address
320 Pomfret St Putnam CT 06260-1836
Phone: (860) 928-6541
Fax: (860) 963-6393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 000708 Connecticut

Profile Details

NPI number 1093765232
LBN Legal business name Lane, Kimberly J
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Oct 1st, 2019 - about 7 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 1093765232 NPPES
Connecticut MEDICAID 4007084
Connecticut Other 000708

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