Dawkins, Kimberly D
Dawkins, Kimberly D is an sole proprietor health care provider with primary practice located at 742 Starland St Se , Palm Bay FL 32909-4453. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Dawkins, Kimberly D can be contacted via phone (321) 557-5172.Contact Information
Primary practice address
742 Starland St Se
Palm Bay FL 32909-4453
Phone: (321) 557-5172
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities | 385HR2060X |
Profile Details
| NPI number | 1033719604 |
|---|---|
| LBN Legal business name | Dawkins, Kimberly D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2020 |
| Last updated | Oct 31st, 2020 - about 6 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 | 1033719604 | NPPES |
| Florida | MEDICAID | 106182500 |
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