Mcdermott, Kimberly Jane

Mcdermott, Kimberly Jane is an individual health care provider with primary practice located at 3400 Montgomery Dr , Santa Rosa CA 95405-5142. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Mcdermott, Kimberly Jane can be contacted via phone (707) 526-0289.

Contact Information

Primary practice address
3400 Montgomery Dr Santa Rosa CA 95405-5142
Phone: (707) 526-0289
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1780193649
LBN Legal business name Mcdermott, Kimberly Jane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2017
Last updated Sep 22nd, 2017 - about 9 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.

Request for update

Popular Providers