Penilla, Kimberly Dianne

Penilla, Kimberly Dianne is an sole proprietor health care provider with primary practice located at 109 S Barbara St , Anaheim CA 92806-3825. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Penilla, Kimberly Dianne can be contacted via phone (714) 504-5084.

Contact Information

Primary practice address
109 S Barbara St Anaheim CA 92806-3825
Phone: (714) 504-5084
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1639566482
LBN Legal business name Penilla, Kimberly Dianne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2015
Last updated Apr 20th, 2015 - about 9 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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