Mollo, Kimberly S
Mollo, Kimberly S is an sole proprietor health care provider with primary practice located at 600 Germantown Pike Ste A , Lafayette Hill PA 19444. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health. Other Service Providers / Specialist is her primary health care specialty. Mollo, Kimberly S can be contacted via phone (215) 290-0817.Contact Information
Primary practice address
600 Germantown Pike Ste A
Lafayette Hill PA 19444
Phone: (215) 290-0817
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | U1-0001454 | Delaware |
| Other Service Providers / Specialist | 174400000X | 46TR00443400 | New Jersey |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health | 225XM0800X | ||
| Other Service Providers / Specialist | 174400000X | OC010410 | Pennsylvania |
Profile Details
| NPI number | 1730362450 |
|---|---|
| LBN Legal business name | Mollo, Kimberly S |
| Credentials | OTD, OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 17th, 2007 |
| Last updated | Jun 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730362450 | NPPES |
| New York | Other | 022381 | NEW YORK LICENSE |
| New York | Other | 46TR00443400 | NEW YORK LICENSE |
| New York | Other | U1-0001454 | NEW YORK LICENSE |
| New York | Other | OC010410 | NEW YORK LICENSE |
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