Needham, Kimberly K
Needham, Kimberly K is an individual health care provider with primary practice located at 9817 E Us Highway 36 , Avon IN 46123-7954. 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. Needham, Kimberly K can be contacted via phone (317) 860-7677.Contact Information
Primary practice address
9817 E Us Highway 36
Avon IN 46123-7954
Phone: (317) 860-7677
Fax: (317) 860-7668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05006846A | Indiana |
Profile Details
| NPI number | 1700853223 |
|---|---|
| LBN Legal business name | Needham, Kimberly K |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Feb 15th, 2017 - about 7 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 | 1700853223 | NPPES |
| Indiana | MEDICAID | 200274820 | |
| Indiana | Other | 000000111999 |
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