King, Kimberly Dawn

King, Kimberly Dawn is an individual health care provider with primary practice located at 78 S Main St , Rutland VT 05701-4594. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. King, Kimberly Dawn can be contacted via phone (802) 775-1000.

Contact Information

Primary practice address
78 S Main St Rutland VT 05701-4594
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1225804073
LBN Legal business name King, Kimberly Dawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2023
Last updated Sep 27th, 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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