Peregrim, Kimberly A
Peregrim, Kimberly A is an individual health care provider with primary practice located at 711 Troy Schenectady Rd Ste 104 , Latham NY 12110-2454. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Peregrim, Kimberly A can be contacted via phone (518) 783-3110.Contact Information
Primary practice address
711 Troy Schenectady Rd Ste 104
Latham NY 12110-2454
Phone: (518) 783-3110
Fax: (518) 220-9506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 224370 | New York |
Profile Details
| NPI number | 1467444554 |
|---|---|
| LBN Legal business name | Peregrim, Kimberly A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Jan 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 | 1467444554 | NPPES |
| New York | MEDICAID | 02256320 |
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