Bandi, Kim

Bandi, Kim is an sole proprietor health care provider with primary practice located at 551 E Station Ave , Coopersburg PA 18036-2027. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Agencies / Early Intervention Provider Agency. Other Service Providers / Contractor is her primary health care specialty. Bandi, Kim can be contacted via phone (484) 863-9220.

Contact Information

Primary practice address
551 E Station Ave Coopersburg PA 18036-2027
Phone: (484) 863-9220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X OC007396L Pennsylvania
Agencies / Early Intervention Provider Agency 252Y00000X OC007396L Pennsylvania

Profile Details

NPI number 1164707840
LBN Legal business name Bandi, Kim
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2011
Last updated Dec 4th, 2016 - about 10 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 1164707840 NPPES
Pennsylvania MEDICAID 1164707840

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