Rose, Kimberly Kay
Rose, Kimberly Kay is an sole proprietor health care provider with primary practice located at 421 Birdie Dr Apt. #3, Marion AR 72364-1647. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Rose, Kimberly Kay can be contacted via phone (901) 277-8968.Contact Information
Primary practice address
421 Birdie Dr Apt. #3
Marion AR 72364-1647
Phone: (901) 277-8968
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | 147802783 | Arkansas |
Profile Details
| NPI number | 1710154075 |
|---|---|
| LBN Legal business name | Rose, Kimberly Kay |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2008 |
| Last updated | May 14th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710154075 | NPPES |
| Arkansas | MEDICAID | 147802783 |
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