Polk, Kimberly
Polk, Kimberly is an individual health care provider with primary practice located at 982 E Main St , Bridgeport CT 06608-1913. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Polk, Kimberly can be contacted via phone (203) 696-3260.Contact Information
Primary practice address
982 E Main St
Bridgeport CT 06608-1913
Phone: (203) 696-3260
Fax: (203) 332-0376
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 006653 | Connecticut |
Profile Details
| NPI number | 1013990944 |
|---|---|
| LBN Legal business name | Polk, Kimberly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1013990944 | NPPES |
| Connecticut | Other | 006653 | STATE LICENSE |
Popular Providers
-
Lein, Vitaly
982 E Main St , Bridgeport CT 06608-1913 -
Greco, Laura J
30 Hazel Street , Bridgeport CT 06604-5715 -
Hackney, Gail F.
633 Clinton Ave , Bridgeport CT 06605-1711 -
Anglin, Lamouy Y.
361 Bird St , Bridgeport CT 06605-2804 -
Lorentzen, Marcia H
60 Lafayette St , Bridgeport CT 06604-7719 -
Williams, Karen Sue
30 Hazel Street , Bridgeport CT 06604-5715 -
Burr, Mary Ann
752 E Main St 3Rd Floor, Bridgeport CT 06608-2335 -
Cruz, Aida
752 E Main St 3Rd Floor Dental Hygiene, Bridgeport CT 06608-2335