Individual
KIMBERLEE ANN COMFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LP
Contact information
Practice address
1405 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-9301
(651) 633-4532
(651) 633-9311
Mailing address
1405 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-9301
(651) 633-4532
(651) 633-9311
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3043
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58053
HEALTHPARTNERS
MN
01
—
62-68366
UNITED BEHAVIORAL HEALTH - UBH
MN
05
—
661319500
—
MN
Enumeration date
12/03/2008
Last updated
12/03/2008
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