Carson, Kimberley D

Carson, Kimberley D is an sole proprietor health care provider with primary practice located at 501 6Th Ave S , St Petersburg FL 33701-4634. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Carson, Kimberley D can be contacted via phone (727) 767-6913.

Contact Information

Primary practice address
501 6Th Ave S St Petersburg FL 33701-4634
Phone: (727) 767-6913
Fax: (727) 767-6757
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1064640 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT25044 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X

Profile Details

NPI number 1043338288
LBN Legal business name Carson, Kimberley D
Credentials P.T., D.P.T
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Dec 21st, 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 1043338288 NPPES
Texas MEDICAID 107975803

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