Davis, Kimberly

Davis, Kimberly is an sole proprietor health care provider with primary practice located at 1401 Muskopf Pl , Dupo IL 62239-1450. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Davis, Kimberly can be contacted via phone (504) 650-6299.

Contact Information

Primary practice address
1401 Muskopf Pl Dupo IL 62239-1450
Phone: (504) 650-6299
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 7843 Louisiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2023035096 Missouri

Profile Details

NPI number 1083379648
LBN Legal business name Davis, Kimberly
Credentials PLPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2021
Last updated Jul 18th, 2024 - about 4 months 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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