National Provider Identifier Database

JENNIFER KIMBERLY, COTA/L – NPI #1720228679
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

JENNIFER KIMBERLY, COTA/L
810 E 21ST ST
CLOVIS, NM88101-4442
Phone: 575-763-9517
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for JENNIFER KIMBERLY

NPI Number 1720228679
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 03/04/2009
Last updated 03/04/2009 - About 17 years ago
Sole proprietor1 Yes
Identifiers
  • NM License #: 2553
Hospital affiliation n/a

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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