Whitaker, Kimberly
Whitaker, Kimberly is an sole proprietor health care provider with primary practice located at 8 Rocky Ridge Pt , Greensboro NC 27405-5545. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Whitaker, Kimberly can be contacted via phone (336) 895-7540.Contact Information
Primary practice address
8 Rocky Ridge Pt
Greensboro NC 27405-5545
Phone: (336) 895-7540
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | North Carolina | |
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1891325924 |
|---|---|
| LBN Legal business name | Whitaker, Kimberly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2020 |
| Last updated | Jan 16th, 2020 - about 4 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 | 1891325924 | NPPES |
| North Carolina | MEDICAID | 257100 |
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