Prockelo, Kimberley K.

Prockelo, Kimberley K. is an individual health care provider with primary practice located at 4175 S Alamo Ave , Dm Afb AZ 85707-6097. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Prockelo, Kimberley K. can be contacted via phone (520) 228-2651.

Contact Information

Primary practice address
4175 S Alamo Ave Dm Afb AZ 85707-6097
Phone: (520) 228-2651
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H1617 Arizona

Profile Details

NPI number 1881664076
LBN Legal business name Prockelo, Kimberley K.
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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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