Peacock, Kymn M

Peacock, Kymn M is an sole proprietor health care provider with primary practice located at 13390 Pennock Ave , Apple Valley MN 55124-7359. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Peacock, Kymn M can be contacted via phone (952) 236-0439.

Contact Information

Primary practice address
13390 Pennock Ave Apple Valley MN 55124-7359
Phone: (952) 236-0439
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 100731 Minnesota

Profile Details

NPI number 1518106566
LBN Legal business name Peacock, Kymn M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2009
Last updated Feb 16th, 2009 - about 17 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