Comfort, Kimberlee Ann
Comfort, Kimberlee Ann is an individual health care provider with primary practice located at 1405 Silver Lake Rd Nw , New Brighton MN 55112-9301. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Comfort, Kimberlee Ann can be contacted via phone (651) 633-4532.Contact Information
Primary practice address
1405 Silver Lake Rd Nw
New Brighton MN 55112-9301
Phone: (651) 633-4532
Fax: (651) 633-9311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP3043 | Minnesota |
Profile Details
| NPI number | 1033354154 |
|---|---|
| LBN Legal business name | Comfort, Kimberlee Ann |
| Credentials | MA, LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 3rd, 2008 |
| Last updated | Dec 3rd, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033354154 | NPPES |
| Minnesota | MEDICAID | 661319500 | |
| Minnesota | Other | 58053 | |
| Minnesota | Other | 62-68366 |
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