Childress, Kim Michelle

Childress, Kim Michelle is an sole proprietor health care provider with primary practice located at 3300 36Th St Se , Kentwood MI 49512-2810. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Childress, Kim Michelle can be contacted via phone (616) 304-7517.

Contact Information

Primary practice address
3300 36Th St Se Kentwood MI 49512-2810
Phone: (616) 304-7517
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6451015430 Michigan

Profile Details

NPI number 1124410808
LBN Legal business name Childress, Kim Michelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2015
Last updated Jun 5th, 2024 - about last year

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.

Request for update

Popular Providers