Baldwin, Kim Stacy

Baldwin, Kim Stacy is an individual health care provider with primary practice located at 1407 W 4Th St , Red Wing MN 55066-2108. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Baldwin, Kim Stacy can be contacted via phone (651) 267-5000.

Contact Information

Primary practice address
1407 W 4Th St Red Wing MN 55066-2108
Phone: (651) 267-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP1728 Minnesota

Profile Details

NPI number 1205801610
LBN Legal business name Baldwin, Kim Stacy
Credentials PHD LP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Feb 11th, 2021 - 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 1205801610 NPPES
Minnesota MEDICAID 365352800

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