Soderholm, Kimberly

Soderholm, Kimberly is an individual health care provider with primary practice located at 109 3Rd St E Ecse Lodeon Center, West Fargo ND 58078-1817. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Soderholm, Kimberly can be contacted via phone (701) 356-2115.

Contact Information

Primary practice address
109 3Rd St E Ecse Lodeon Center West Fargo ND 58078-1817
Phone: (701) 356-2115
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 800 North Dakota

Profile Details

NPI number 1326219601
LBN Legal business name Soderholm, Kimberly
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2008
Last updated Mar 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326219601 NPPES
North Dakota MEDICAID 50095

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