Coleman, Kimetta Arniece

Coleman, Kimetta Arniece is an individual health care provider with primary practice located at 2375 E Camelback Rd # 628 , Phoenix AZ 85016-3424. She recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as her primary health care specialty. Coleman, Kimetta Arniece can be contacted via phone (602) 606-5742.

Contact Information

Primary practice address
2375 E Camelback Rd # 628 Phoenix AZ 85016-3424
Fax: (602) 801-2770
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X Arizona

Profile Details

NPI number 1114530540
LBN Legal business name Coleman, Kimetta Arniece
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2020
Last updated Aug 25th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114530540 NPPES
Arizona MEDICAID 005311

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