Daniels, Kimberly Kay
Daniels, Kimberly Kay is an individual health care provider with primary practice located at 1480 N M 52 Ste A , Owosso MI 48867-1290. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Daniels, Kimberly Kay can be contacted via phone (989) 723-8239.Contact Information
Primary practice address
1480 N M 52 Ste A
Owosso MI 48867-1290
Phone: (989) 723-8239
Fax: (989) 723-8230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1689137903 |
|---|---|
| LBN Legal business name | Daniels, Kimberly Kay |
| Credentials | BHUS, DP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2019 |
| Last updated | Mar 3rd, 2022 - about 3 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 | 1689137903 | NPPES |
| Michigan | MEDICAID | 1720314008 |
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