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Contact Information

KIMBERLY A DEROUCHIE
1062 RT. 38
OWEGO, NY13827
 Phone: 607-687-8610
 Fax: 607-223-7005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for KIMBERLY A DEROUCHIE · (Female)

NPI Number 1063775476
Status Active
Credentials
Entity Individual
Enumeration date 06/20/2012
Last updated 06/20/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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