Carranza, Kimberlee G

Carranza, Kimberlee G is an sole proprietor health care provider with primary practice located at 98 Briggs St Suite 990, San Antonio TX 78224-1286. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Carranza, Kimberlee G can be contacted via phone (210) 226-9536.

Contact Information

Primary practice address
98 Briggs St Suite 990 San Antonio TX 78224-1286
Phone: (210) 226-9536
Fax: (817) 789-6849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X DT06282 Texas

Profile Details

NPI number 1467704213
LBN Legal business name Carranza, Kimberlee G
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2012
Last updated Oct 3rd, 2012 - about 14 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 1467704213 NPPES
Texas MEDICAID 207164901
Texas MEDICAID 149984001

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