Kaiser, Kim John

Kaiser, Kim John is an sole proprietor health care provider with primary practice located at 37 Cardinal Rd , East Lyme CT 06333-1045. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is his primary health care specialty. Kaiser, Kim John can be contacted via phone (860) 691-3033.

Contact Information

Primary practice address
37 Cardinal Rd East Lyme CT 06333-1045
Phone: (860) 691-3033
Fax: (860) 691-3006
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 06-1357833 Connecticut
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1114005683
LBN Legal business name Kaiser, Kim John
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Apr 4th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114005683 NPPES
Connecticut MEDICAID 004101953

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