Becker, Kimberly

Becker, Kimberly is an sole proprietor health care provider with primary practice located at 240 W Dixie Ave Suite 5-B, Elizabethtown KY 42701-1586. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Becker, Kimberly can be contacted via phone (207) 307-3276.

Contact Information

Primary practice address
240 W Dixie Ave Suite 5-B Elizabethtown KY 42701-1586
Phone: (207) 307-3276
Fax: (253) 681-0825
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3167 Kentucky

Profile Details

NPI number 1760420459
LBN Legal business name Becker, Kimberly
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2006
Last updated Nov 22nd, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760420459 NPPES
Kentucky MEDICAID 30605018
Kentucky Other 11574939
Kentucky Other 000000495963

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