Draine, Kimberly

Draine, Kimberly is an sole proprietor health care provider with primary practice located at 1112 W 12Th St , Lakeland FL 33805-3465. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Draine, Kimberly can be contacted via phone (863) 838-4042.

Contact Information

Primary practice address
1112 W 12Th St Lakeland FL 33805-3465
Phone: (863) 838-4042
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1336661883
LBN Legal business name Draine, Kimberly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2017
Last updated Jul 15th, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336661883 NPPES
Florida MEDICAID 019404200

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