Davis, Kimble Dynetta

Davis, Kimble Dynetta is an sole proprietor health care provider with primary practice located at 701 Arkansas Blvd , Texarkana AR 71854-2105. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Davis, Kimble Dynetta can be contacted via phone (870) 772-5028.

Contact Information

Primary practice address
701 Arkansas Blvd Texarkana AR 71854-2105
Phone: (870) 772-5028
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180005837 Illinois

Profile Details

NPI number 1447316765
LBN Legal business name Davis, Kimble Dynetta
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2006
Last updated Mar 15th, 2017 - about 7 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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