Davis, Kim W

Davis, Kim W is an individual health care provider with primary practice located at 110 Roach St , Georgetown KY 40324-9393. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Davis, Kim W can be contacted via phone (859) 253-1686.

Contact Information

Primary practice address
110 Roach St Georgetown KY 40324-9393
Phone: (859) 253-1686
Fax: (859) 254-2743
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 1896 Kentucky

Profile Details

NPI number 1306995634
LBN Legal business name Davis, Kim W
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 9th, 2007 - about 17 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 1306995634 NPPES
Kentucky MEDICAID 30615058

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