Cornish, Kimberly A
Cornish, Kimberly A is an individual health care provider with primary practice located at 1850 Olympian Way , Winter Haven FL 33881-2161. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Cornish, Kimberly A can be contacted via phone (863) 595-0167.Contact Information
Primary practice address
1850 Olympian Way
Winter Haven FL 33881-2161
Phone: (863) 595-0167
Fax: (863) 837-9399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH5200 | Florida |
Profile Details
| NPI number | 1326056342 |
|---|---|
| LBN Legal business name | Cornish, Kimberly A |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Feb 15th, 2013 - about 11 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 | 1326056342 | NPPES |
| Florida | MEDICAID | 760079800 |
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