Kimble-Goodman, Barbara
Kimble-Goodman, Barbara is an individual health care provider with primary practice located at 95 Thomaston Ave , Waterbury CT 06702-1007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kimble-Goodman, Barbara can be contacted via phone (203) 805-5300.Contact Information
Primary practice address
95 Thomaston Ave
Waterbury CT 06702-1007
Phone: (203) 805-5300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 003974 | Connecticut |
Profile Details
| NPI number | 1780997601 |
|---|---|
| LBN Legal business name | Kimble-Goodman, Barbara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2010 |
| Last updated | Jul 20th, 2010 - about 16 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 | 1780997601 | NPPES |
| Connecticut | Other | 003974 | APRN LICENSE |
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