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Contact Information

KIMBERLY PENNINE
975 WATERMAN AVE
EAST PROVIDENCE, RI02914-1342
 Phone: 401-437-4884
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Home Health

163WH0200X
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for KIMBERLY PENNINE · (Female)

NPI Number 1396149704
Status Active
Credentials
Entity Individual
Enumeration date 10/14/2014
Last updated 09/11/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • RI License # RN50595
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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