Newbury, Kimberly A

Newbury, Kimberly A is an individual health care provider with primary practice located at 4705A Old Post Rd , Charlestown RI 02813-1819. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Newbury, Kimberly A can be contacted via phone (401) 364-7705.

Contact Information

Primary practice address
4705A Old Post Rd Charlestown RI 02813-1819
Fax: (401) 364-9104
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW01145 Rhode Island

Profile Details

NPI number 1740237080
LBN Legal business name Newbury, Kimberly A
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Apr 10th, 2013 - about 11 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 1740237080 NPPES
Rhode Island Other 341613 MHN/TRICARE
Rhode Island Other 408126 MHN/TRICARE
Rhode Island MEDICAID KA09594 MHN/TRICARE
Rhode Island Other 1020890 MHN/TRICARE
Rhode Island Other 30616-8 MHN/TRICARE
Rhode Island Other 62-09370 MHN/TRICARE

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