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
Phone: (602) 606-5742
Fax: (602) 801-2770
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114530540 | NPPES |
Arizona | MEDICAID | 005311 |
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