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Contact Information

KIMBERLY BALDWIN
436 5TH AVE TED STEVENS WAY
KOTZEBUE, AK99752
 Phone: 907-442-7325
 Fax: 907-442-7308
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Therapist

125J00000X
Indicates primary specialty

NPI Profile & details for KIMBERLY BALDWIN · (Female)

NPI Number 1205236692
Status Active
Credentials
Entity Individual
Enumeration date 09/04/2014
Last updated 09/04/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • ZZ License # 06-021-DHAT
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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