Kingsmore, Kourtney Marie
Kingsmore, Kourtney Marie is an individual health care provider with primary practice located at 1000 Calle Amanecer , San Clemente CA 92673-6214. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Kingsmore, Kourtney Marie can be contacted via phone (949) 498-5100.Contact Information
Primary practice address
1000 Calle Amanecer
San Clemente CA 92673-6214
Phone: (949) 498-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT304051 | California |
Profile Details
| NPI number | 1144093477 |
|---|---|
| LBN Legal business name | Kingsmore, Kourtney Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2023 |
| Last updated | Oct 30th, 2023 - about 3 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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