Hayes, Kimberly Crockett
Hayes, Kimberly Crockett is an sole proprietor health care provider with primary practice located at 2465 Canopy Gln , Marietta GA 30066-1541. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Hayes, Kimberly Crockett can be contacted via phone (770) 517-2480.Contact Information
Primary practice address
2465 Canopy Gln
Marietta GA 30066-1541
Phone: (770) 517-2480
Fax: (770) 592-9431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 928 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 928 | Georgia |
Profile Details
| NPI number | 1730359738 |
|---|---|
| LBN Legal business name | Hayes, Kimberly Crockett |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2008 |
| Last updated | Mar 5th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730359738 | NPPES |
| Georgia | Other | 928 | OCCUPATIONAL LICENSE |
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