Raven, Kimberly
Raven, Kimberly is an sole proprietor health care provider with primary practice located at 130 Medical Way Ste A , Stockbridge GA 30281-9088. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Raven, Kimberly can be contacted via phone (678) 871-9854.Contact Information
Primary practice address
130 Medical Way Ste A
Stockbridge GA 30281-9088
Phone: (678) 871-9854
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT001871 | Georgia |
Profile Details
| NPI number | 1487290664 |
|---|---|
| LBN Legal business name | Raven, Kimberly |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2019 |
| Last updated | Nov 21st, 2019 - about 6 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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