Maes, Kimberly J

Maes, Kimberly J is an individual health care provider with primary practice located at 5813 Sawyer Ridge Dr , Pueblo CO 81008-9708. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Maes, Kimberly J can be contacted via phone (719) 289-4070.

Contact Information

Primary practice address
5813 Sawyer Ridge Dr Pueblo CO 81008-9708
Phone: (719) 289-4070
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05004104-A Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9934 Colorado

Profile Details

NPI number 1972501641
LBN Legal business name Maes, Kimberly J
Credentials P.T., CPED
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated May 24th, 2021 - about 3 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 1972501641 NPPES
Indiana MEDICAID 200277650-A

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