Marshall, Kimberly

Marshall, Kimberly is an individual health care provider with primary practice located at 90 Air Park Dr , Ronkonkoma NY 11779-7360. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Marshall, Kimberly can be contacted via phone (631) 580-4001.

Contact Information

Primary practice address
90 Air Park Dr Ronkonkoma NY 11779-7360
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 117837 New York

Profile Details

NPI number 1740542539
LBN Legal business name Marshall, Kimberly
Credentials MS ED.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2012
Last updated Jun 8th, 2012 - about 12 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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