Course, Kimberly
Course, Kimberly is an sole proprietor health care provider with primary practice located at 901 Highway 80 E , Clinton MS 39056-5244. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Course, Kimberly can be contacted via phone (601) 927-0188.Contact Information
Primary practice address
901 Highway 80 E
Clinton MS 39056-5244
Phone: (601) 927-0188
Fax: (601) 292-7998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1568070589 |
|---|---|
| LBN Legal business name | Course, Kimberly |
| Credentials | Bachelor of Social Work (BSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2020 |
| Last updated | Jul 15th, 2020 - about 4 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 | 1568070589 | NPPES |
| Mississippi | MEDICAID | 02551264 |
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