Churchill, Kimberly Ann

Churchill, Kimberly Ann is an sole proprietor health care provider with primary practice located at 16154 Main Ave Se # 134 , Prior Lake MN 55372-4800. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Churchill, Kimberly Ann can be contacted via phone (952) 447-3000.

Contact Information

Primary practice address
16154 Main Ave Se # 134 Prior Lake MN 55372-4800
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 13830 Minnesota

Profile Details

NPI number 1568384576
LBN Legal business name Churchill, Kimberly Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2026
Last updated Jul 29th, 2026 - about 3 months 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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