Andrew, Kimberly Jo

Andrew, Kimberly Jo is an sole proprietor health care provider with primary practice located at 421 E Oak St , Pocatello ID 83201-4601. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Andrew, Kimberly Jo can be contacted via phone (208) 241-7496.

Contact Information

Primary practice address
421 E Oak St Pocatello ID 83201-4601
Phone: (208) 241-7496
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LCPC-4159 Idaho

Profile Details

NPI number 1164780706
LBN Legal business name Andrew, Kimberly Jo
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2012
Last updated May 2nd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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