Kothe, Kimberly Dawn

Kothe, Kimberly Dawn is an sole proprietor health care provider with primary practice located at 10124 West Broad St., Suite O , Glen Allen VA 23060-3330. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kothe, Kimberly Dawn can be contacted via phone (866) 203-4365.

Contact Information

Primary practice address
10124 West Broad St., Suite O Glen Allen VA 23060-3330
Phone: (866) 203-4365
Fax: (866) 204-5425
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305004593 Virginia

Profile Details

NPI number 1427179589
LBN Legal business name Kothe, Kimberly Dawn
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
Last updated Jul 10th, 2007 - about 19 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 1427179589 NPPES
Virginia Other 2305004593 STATE LICENSE

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