Cordero, Kimberly
Cordero, Kimberly is an sole proprietor health care provider with primary practice located at 533 E Riverside Dr Ste 120 , Eagle ID 83616-6585. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Cordero, Kimberly can be contacted via phone (208) 906-3644.Contact Information
Primary practice address
533 E Riverside Dr Ste 120
Eagle ID 83616-6585
Phone: (208) 906-3644
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | LMSW-28608 | Idaho |
Profile Details
| NPI number | 1558817981 |
|---|---|
| LBN Legal business name | Cordero, Kimberly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2016 |
| Last updated | Dec 18th, 2025 - about last year |
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 | 1558817981 | NPPES |
| Idaho | MEDICAID | 1902225436 |
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