Wedderburn, Kimberly Shadean

Wedderburn, Kimberly Shadean is an sole proprietor health care provider with primary practice located at 2200 Hayes St Fl 3 , San Francisco CA 94117-1013. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Wedderburn, Kimberly Shadean can be contacted via phone (415) 750-5649.

Contact Information

Primary practice address
2200 Hayes St Fl 3 San Francisco CA 94117-1013
Phone: (415) 750-5649
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X 67715 Florida
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1417501347
LBN Legal business name Wedderburn, Kimberly Shadean
Credentials CTRS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2019
Last updated Aug 7th, 2019 - about 5 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 1417501347 NPPES
Other 0000000000 NA

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