Carroll-Bevly, Kimberly Renee'

Carroll-Bevly, Kimberly Renee' is an sole proprietor health care provider with primary practice located at 3120 Wyoming St , Saint Louis MO 63118-2130. She recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is her primary health care specialty. Carroll-Bevly, Kimberly Renee' can be contacted via phone (313) 297-6141.

Contact Information

Primary practice address
3120 Wyoming St Saint Louis MO 63118-2130
Phone: (313) 297-6141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1023624871
LBN Legal business name Carroll-Bevly, Kimberly Renee'
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2020
Last updated Sep 17th, 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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