Fairbank, Kimberly Michelle

Fairbank, Kimberly Michelle is an individual health care provider with primary practice located at 1775 Thompson Rd , Coos Bay OR 97420-2125. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Fairbank, Kimberly Michelle can be contacted via phone (541) 269-8160.

Contact Information

Primary practice address
1775 Thompson Rd Coos Bay OR 97420-2125
Phone: (541) 269-8160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X CPT0000480 Oregon

Profile Details

NPI number 1669563003
LBN Legal business name Fairbank, Kimberly Michelle
Credentials CPHT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jul 8th, 2007 - about 18 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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