Winfree, Kimberly Lane
Winfree, Kimberly Lane is an sole proprietor health care provider with primary practice located at 678 Narragansett St Ne , Palm Bay FL 32907. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Winfree, Kimberly Lane can be contacted via phone (321) 634-2196.Contact Information
Primary practice address
678 Narragansett St Ne
Palm Bay FL 32907
Phone: (321) 634-2196
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT10919 | Florida |
Profile Details
| NPI number | 1629387311 |
|---|---|
| LBN Legal business name | Winfree, Kimberly Lane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2010 |
| Last updated | Aug 3rd, 2023 - about 2 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 | 1629387311 | NPPES |
| Florida | MEDICAID | 891141000 |
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