Hendricks, Kimberly Ann

Hendricks, Kimberly Ann is an individual health care provider with primary practice located at 281 Laclair St , Coos Bay OR 97420-2988. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Hendricks, Kimberly Ann can be contacted via phone (541) 808-7244.

Contact Information

Primary practice address
281 Laclair St Coos Bay OR 97420-2988
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Oregon

Profile Details

NPI number 1861242513
LBN Legal business name Hendricks, Kimberly Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2024
Last updated Mar 25th, 2024 - about 2 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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