Leidner, Kim Marie

Leidner, Kim Marie is an sole proprietor health care provider with primary practice located at 986 Sunrise Hwy , West Babylon NY 11704-6111. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Leidner, Kim Marie can be contacted via phone (631) 587-6060.

Contact Information

Primary practice address
986 Sunrise Hwy West Babylon NY 11704-6111
Phone: (631) 587-6060
Fax: (631) 587-1364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 806597 Illinois

Profile Details

NPI number 1790853745
LBN Legal business name Leidner, Kim Marie
Credentials MSRD, CDE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2006
Last updated Jul 8th, 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 1790853745 NPPES
New York Other 5457751 CIGNA
New York Other AZ00894 CIGNA
New York Other 3C7122 CIGNA
New York Other 8099804 CIGNA
New York Other 2595970 CIGNA
New York Other IG0951 CIGNA
New York Other P2720854 CIGNA

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