KIMBERLY MALMBORG


Address: 5151 Park Ave, Fairfield, CT 06825-1090
Phone: 2033717999

KIMBERLY MALMBORG (NPI# 1689202111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689202111
Entity Type Individual
Full Name KIMBERLY MALMBORG
Practice Address 5151 Park Ave
Fairfield
CT 06825-1090
Mailing Address 2 W Colonial Rd
Wilbraham
MA 01095-2127
Practice Telephone 2033717999
Enumeration Date 2020-03-30
Last Update Date 2020-03-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 5151 PARK AVE
City FAIRFIELD
State CT
Zip Code 06825-1090

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942282793 Michael J Emery Physical Therapist 5151 Park Ave, Fairfield, CT 06825-1023 2005-11-17
1568063790 Tyler Heckmann Physician Assistant 5151 Park Ave, Fairfield, CT 06825-1090 2020-11-04
1205437795 Ashton Craig Ogle Physician Assistant 5151 Park Ave, Fairfield, CT 06825-1090 2020-11-03
1699381715 Olivia Ray Student in an Organized Health Care Education/Training Program 5151 Park Ave, Fairfield, CT 06825-1090 2020-09-23
1417561457 Courtney Jane Murray Student in an Organized Health Care Education/Training Program 5151 Park Ave, Fairfield, CT 06825-1090 2020-09-08
1760096812 Melissa Kathleen Andrew Physician Assistant 5151 Park Ave, Fairfield, CT 06825-1000 2020-09-06
1093329781 Alyssa Joyce Balz Student in an Organized Health Care Education/Training Program 5151 Park Ave, Fairfield, CT 06825-1090 2020-09-01
1720692395 Kaitlyn Rose Rubnitz Physician Assistant 5151 Park Ave, Fairfield, CT 06825-1090 2020-09-01
1912535345 Samantha Rae November Specialist/Technologist 5151 Park Ave, Fairfield, CT 06825-1090 2020-03-31
1366070948 Jeanine Grabowski Specialist/Technologist 5151 Park Ave, Fairfield, CT 06825-1090 2020-03-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598376535 Andrew Kalach Physical Therapist 2373 Black Rock Turnpike, Fairfield, CT 06825 2020-08-13
1346871423 Clarivision-advanced Eye Care Optometrist 40 Black Rock Turnpike, Fairfield, CT 06825 2020-01-28
1730720145 L Burke LLC Marriage & Family Therapist 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 2019-10-07
1760045066 Stephen Miguel Pou Dentist 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 2019-04-22
1548716111 Connecticut Orthopaedic Specialists, PC Specialist 425 Boston Post Road, Fairfield, CT 06825 2016-09-01
1497131239 Alice Z Kelly Social Worker 113 Sky Top Drive, Fairfield, CT 06825 2015-08-04
1902218647 John Feiler Occupational Therapist 175 Jefferson St., Fairfield, CT 06825 2014-05-29
1710242870 Bridge Partnership, LLC Community/Behavioral Health 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 2012-07-05
1154614543 Center for The Healing Arts, PC Internal Medicine 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 2011-05-18
1538468012 Barbara Cohen Occupational Therapist 175 Jefferson Street, Fairfield, CT 06825 2011-03-23
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407466493 Lizbeth Padilla Student in an Organized Health Care Education/Training Program 1125 Hayes St, Fairfield, CA 94533-4707 2020-08-04
1003426024 Rebecca M Dance Student in an Organized Health Care Education/Training Program 5752 David Pl, Fairfield, OH 45014-3508 2020-08-04
1942819826 Lauren J Cotton Student in an Organized Health Care Education/Training Program 1073 North Benson Road, Fairfield, CT 06824 2020-07-28
1396368585 Sadek Debwan Student in an Organized Health Care Education/Training Program 2813 Shelter Hill Dr, Fairfield, CA 94534-8628 2020-05-21
1508487711 Sheila C Flood Student in an Organized Health Care Education/Training Program 101 Biden Circle, Fairfield, CA 94535 2020-04-28
1023647989 Maggie Giambalvo Student in an Organized Health Care Education/Training Program 752 Towne House Rd, Fairfield, CT 06824-1819 2020-04-03
1518503689 Greta Jones Student in an Organized Health Care Education/Training Program 855 Mcglaughlin Rd, Fairfield, PA 17320-9002 2019-11-22
1609424175 Andrew Stephens Student in an Organized Health Care Education/Training Program Dgmc, 101 Bodin Cir, Fairfield, CA 94533 2019-08-28
1427600550 Nancy Ivette Bocanegra Student in an Organized Health Care Education/Training Program 1607 Clay St, Fairfield, CA 94533-3808 2019-07-09
1013481316 Raquel Marie Divincenzo Student in an Organized Health Care Education/Training Program 5151 Park Ave # Mc1425, Fairfield, CT 06825-1090 2019-01-20
Find all providers in FAIRFIELD

Competitor

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City FAIRFIELD
Zip Code 06825

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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