Marley, Kimberly

Marley, Kimberly is an individual health care provider with primary practice located at 1301 Continental Dr Ste 101 , Abingdon MD 21009-2338. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Marley, Kimberly can be contacted via phone (667) 600-3220.

Contact Information

Primary practice address
1301 Continental Dr Ste 101 Abingdon MD 21009-2338
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1407414931
LBN Legal business name Marley, Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2019
Last updated May 30th, 2019 - about 5 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 1407414931 NPPES
Maryland MEDICAID 24007

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