Childress, Kimberly Sue

Childress, Kimberly Sue is an sole proprietor health care provider with primary practice located at 2901 Ellsworth Rd , Nortonville KS 66060-5019. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Childress, Kimberly Sue can be contacted via phone (417) 499-1885.

Contact Information

Primary practice address
2901 Ellsworth Rd Nortonville KS 66060-5019
Phone: (417) 499-1885
Fax: (954) 212-2411
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X 470 Nebraska
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X 2005032056 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X 1702306 Kansas

Profile Details

NPI number 1265667851
LBN Legal business name Childress, Kimberly Sue
Credentials M.S., OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2009
Last updated May 26th, 2009 - about 15 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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