Ellis, Kimberly Renee
Ellis, Kimberly Renee is an individual health care provider with primary practice located at 1110 Wilkinson Trce , Bowling Green KY 42103-3402. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Ellis, Kimberly Renee can be contacted via phone (270) 796-6850.Contact Information
Primary practice address
1110 Wilkinson Trce
Bowling Green KY 42103-3402
Phone: (270) 796-6850
Fax: (270) 781-8228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 0062 | Kentucky |
Profile Details
| NPI number | 1841368313 |
|---|---|
| LBN Legal business name | Ellis, Kimberly Renee |
| Credentials | Medical Technologist (MT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1841368313 | NPPES |
| Kentucky | Other | 1760411342 | NPI GROUP |
| Kentucky | MEDICAID | GROUP #91011148 | NPI GROUP |
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