Hollandsworth, Kimberly
Hollandsworth, Kimberly is an individual health care provider with primary practice located at 11100 Euclid Avenue , Cleveland OH 44106. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Hollandsworth, Kimberly can be contacted via phone (216) 844-8200.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 35068570 | Ohio |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | 35068570 | Ohio |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 35068570 | Ohio |
Profile Details
| NPI number | 1255316105 |
|---|---|
| LBN Legal business name | Hollandsworth, Kimberly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Jul 5th, 2011 - about 15 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 | 1255316105 | NPPES |
| Ohio | MEDICAID | 0177955 | |
| Ohio | Other | 606201 | |
| Ohio | Other | 000000221128 | |
| Ohio | Other | 000000523163 | |
| Ohio | Other | 5342550 | |
| Ohio | Other | 363644 |
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