Kim, Kerri Lynn

Kim, Kerri Lynn is an individual health care provider with primary practice located at 1011 Veterans Memorial Pkwy , Riverside RI 02915-5061. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Kim, Kerri Lynn can be contacted via phone (401) 432-1000.

Contact Information

Primary practice address
1011 Veterans Memorial Pkwy Riverside RI 02915-5061
Phone: (401) 432-1000
Fax: (401) 432-1500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1094 Kansas
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS01230 Rhode Island

Profile Details

NPI number 1427269125
LBN Legal business name Kim, Kerri Lynn
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Sep 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427269125 NPPES
Rhode Island Other PS PROFESSIONAL LICENSE

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