Davis, Kimberly

Davis, Kimberly is an individual health care provider with primary practice located at 1445 W Main St , Newark OH 43055-1989. 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, Kimberly can be contacted via phone (740) 522-8477.

Contact Information

Primary practice address
1445 W Main St Newark OH 43055-1989
Phone: (740) 522-8477
Fax: (740) 788-3424
Website:
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Health care specialties

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

Profile Details

NPI number 1881887149
LBN Legal business name Davis, Kimberly
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2007
Last updated Feb 27th, 2013 - about 12 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 1881887149 NPPES
Kentucky MEDICAID 30610026

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