Vandenwymelenberg, Kimberly
Vandenwymelenberg, Kimberly is an individual health care provider with primary practice located at 890 N Cole Rd Suite A, Boise ID 83704-8638. 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. Vandenwymelenberg, Kimberly can be contacted via phone (208) 323-8888.Contact Information
Primary practice address
890 N Cole Rd Suite A
Boise ID 83704-8638
Phone: (208) 323-8888
Fax: (208) 323-8889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT-758 | Idaho |
Profile Details
| NPI number | 1568509263 |
|---|---|
| LBN Legal business name | Vandenwymelenberg, Kimberly |
| Credentials | MS, OTR L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Jul 8th, 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 | 1568509263 | NPPES |
| Idaho | Other | W1225 | BLUE CROSS INSURANCE |
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