Brockett, Kimberly Sue

Brockett, Kimberly Sue is an individual health care provider with primary practice located at 1680 S Jefferson Ave Ste G , Cookeville TN 38506-2527. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Brockett, Kimberly Sue can be contacted via phone (931) 261-0889.

Contact Information

Primary practice address
1680 S Jefferson Ave Ste G Cookeville TN 38506-2527
Phone: (931) 261-0889
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1700416021
LBN Legal business name Brockett, Kimberly Sue
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2020
Last updated Jan 26th, 2020 - about 4 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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