Rubenacker, Kimberly Dawn

Rubenacker, Kimberly Dawn is an individual health care provider with primary practice located at 4121 Veterans Memorial Dr , Mount Vernon IL 62864-6262. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Rubenacker, Kimberly Dawn can be contacted via phone (618) 242-3778.

Contact Information

Primary practice address
4121 Veterans Memorial Dr Mount Vernon IL 62864-6262
Phone: (618) 242-3778
Fax: (618) 242-2551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 056006678 Illinois

Profile Details

NPI number 1932153210
LBN Legal business name Rubenacker, Kimberly Dawn
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Mar 16th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932153210 NPPES
Illinois Other 056006678 STATE LICENSE

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