Long, Kimberly Nicole
Long, Kimberly Nicole is an individual health care provider with primary practice located at 2578 Gresham Rd Se , Atlanta GA 30316-4138. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Long, Kimberly Nicole can be contacted via phone (404) 688-1350.Contact Information
Primary practice address
2578 Gresham Rd Se
Atlanta GA 30316-4138
Phone: (404) 688-1350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH011822 | Georgia |
Profile Details
| NPI number | 1649055104 |
|---|---|
| LBN Legal business name | Long, Kimberly Nicole |
| Credentials | DENTAL HYGIENIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2023 |
| Last updated | Aug 31st, 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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