Trujillo, Kimberly Shirl
Trujillo, Kimberly Shirl is an individual health care provider with primary practice located at 3013C Raeford Rd , Fayetteville NC 28303-5441. 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. Trujillo, Kimberly Shirl can be contacted via phone (910) 484-9663.Contact Information
Primary practice address
3013C Raeford Rd
Fayetteville NC 28303-5441
Phone: (910) 484-9663
Fax: (910) 484-6668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 9548 | North Carolina |
Profile Details
| NPI number | 1396787750 |
|---|---|
| LBN Legal business name | Trujillo, Kimberly Shirl |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1396787750 | NPPES |
| North Carolina | Other | 9548 | LICENSE NO |
| North Carolina | Other | 079CF | LICENSE NO |
| North Carolina | MEDICAID | 7301894 | LICENSE NO |
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