Chancellor, Kim

Chancellor, Kim is an sole proprietor health care provider with primary practice located at 13052 Compton Rd , Loxahatchee FL 33470-4714. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is her primary health care specialty. Chancellor, Kim can be contacted via phone (561) 797-7202.

Contact Information

Primary practice address
13052 Compton Rd Loxahatchee FL 33470-4714
Phone: (561) 797-7202
Fax: (561) 795-3014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1134603152
LBN Legal business name Chancellor, Kim
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2018
Last updated Sep 17th, 2018 - about 6 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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