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Individual

MRS. KIMBERLY R HOUSER

Active
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Individual

MRS. KIMBERLY R HOUSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
IN
373H00000X
Day Training/Habilitation Specialist
757241
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200608040
RENDERING PHYSICIAN
IN
01
200707390
PROVIDER NUMBER
IN
01
373H00000X
TAXONOMY
IN
Enumeration date
04/04/2007
Last updated
09/20/2018
About Stedi
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