Stuckey, Kim

Stuckey, Kim is an individual health care provider with primary practice located at 830 Washington St Samaritan Medical Center, Watertown NY 13601-4034. 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. Stuckey, Kim can be contacted via phone (971) 206-5140.

Contact Information

Primary practice address
830 Washington St Samaritan Medical Center Watertown NY 13601-4034
Phone: (971) 206-5140
Fax: (971) 206-5209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1072176 Oregon

Profile Details

NPI number 1497958714
LBN Legal business name Stuckey, Kim
Credentials OCCUPATIONAL THERAPI
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Jul 23rd, 2013 - about 12 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 1497958714 NPPES
Oregon Other 574806 OMAP

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