Love, Kim Rene

Love, Kim Rene is an sole proprietor health care provider with primary practice located at 101 S Loder Ave , Endicott NY 13760-4810. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Love, Kim Rene can be contacted via phone (607) 757-2168.

Contact Information

Primary practice address
101 S Loder Ave Endicott NY 13760-4810
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 542265 New York

Profile Details

NPI number 1376974105
LBN Legal business name Love, Kim Rene
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2013
Last updated Dec 4th, 2013 - about 11 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 1376974105 NPPES
New York MEDICAID KVA429

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