Bailliard, Kimberly Parker

Bailliard, Kimberly Parker is an sole proprietor health care provider with primary practice located at 6505 Draebury Ln , Durham NC 27713-6444. 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. Bailliard, Kimberly Parker can be contacted via phone (919) 599-6944.

Contact Information

Primary practice address
6505 Draebury Ln Durham NC 27713-6444
Phone: (919) 599-6944
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 5259 North Carolina

Profile Details

NPI number 1912977067
LBN Legal business name Bailliard, Kimberly Parker
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2006
Last updated Jan 26th, 2011 - about 15 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 1912977067 NPPES
North Carolina MEDICAID 7301814

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