Zeller, Kimberly Ann

Zeller, Kimberly Ann is an individual health care provider with primary practice located at 712 Broad St , Providence RI 02907-1465. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Zeller, Kimberly Ann can be contacted via phone (401) 233-5060.

Contact Information

Primary practice address
712 Broad St Providence RI 02907-1465
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 238230 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12275 Rhode Island

Profile Details

NPI number 1578780060
LBN Legal business name Zeller, Kimberly Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Jan 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578780060 NPPES
Rhode Island MEDICAID KZ73014
Rhode Island Other 007061006

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