Douglass, Kimberly

Douglass, Kimberly is an individual health care provider with primary practice located at 2101 Courage Drive Ms 10-300, Fairfield CA 94533. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is her primary health care specialty. Douglass, Kimberly can be contacted via phone (707) 784-2033.

Contact Information

Primary practice address
2101 Courage Drive Ms 10-300 Fairfield CA 94533
Phone: (707) 784-2033
Fax: (707) 425-4014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X California

Profile Details

NPI number 1962924340
LBN Legal business name Douglass, Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2017
Last updated Jul 14th, 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.

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