Dekker, Kimberley L.
Dekker, Kimberley L. is an individual health care provider with primary practice located at 100 Foden Rd. East , South Portland ME 04106-2327. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dekker, Kimberley L. can be contacted via phone (207) 874-1489.Contact Information
Primary practice address
100 Foden Rd. East
South Portland ME 04106-2327
Phone: (207) 874-1489
Fax: (207) 523-8590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD20387 | Maine |
Profile Details
| NPI number | 1205190220 |
|---|---|
| LBN Legal business name | Dekker, Kimberley L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2012 |
| Last updated | Apr 28th, 2026 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205190220 | NPPES |
| Maine | MEDICAID | N/A |
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