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Contact Information

KIMBERLY BLANK
1145 SAGAMORE AVE
PORTSMOUTH, NH03801-5585
 Phone: 603-431-6703
 Fax: 603-430-3753
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for KIMBERLY BLANK · (Female)

NPI Number 1902514367
Status Active
Credentials
Entity Individual
Enumeration date 11/14/2022
Last updated 11/14/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NH Medicaid 3078870
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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