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Contact Information

KIMBERLY K LUCERO
2504 CAMINO ENTRADA
2404 CAMINO ENTRADA
SANTA FE, NM87507
 Phone: 505-471-5006
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for KIMBERLY K LUCERO · (Female)

NPI # 1538764857
Status Active
Credentials
Entity Individual
Enumeration date 12/03/2020
Last updated 12/03/2020 - About 6 years ago
Sole proprietor 1 No
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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