Marko, Kimberly O

Marko, Kimberly O is an individual health care provider with primary practice located at 75 West St , Danbury CT 06810-6528. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Marko, Kimberly O can be contacted via phone (203) 885-4622.

Contact Information

Primary practice address
75 West St Danbury CT 06810-6528
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1798 Connecticut

Profile Details

NPI number 1356694509
LBN Legal business name Marko, Kimberly O
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2012
Last updated Oct 24th, 2012 - about 14 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 1356694509 NPPES
Connecticut MEDICAID 101YP2500X

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