Demattie, Kimberly

Demattie, Kimberly is an individual health care provider with primary practice located at 55 Township Road 508 E , South Point OH 45680-7276. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Demattie, Kimberly can be contacted via phone (740) 377-2712.

Contact Information

Primary practice address
55 Township Road 508 E South Point OH 45680-7276
Phone: (740) 377-2712
Fax: (740) 377-2588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S.0028154 Ohio
Nursing Service Providers / Registered Nurse 163W00000X RN.444863 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN.CNP.0026784 Ohio

Profile Details

NPI number 1154834539
LBN Legal business name Demattie, Kimberly
Credentials APRN-CNP, LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2017
Last updated Sep 27th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154834539 NPPES
Ohio MEDICAID 0405888
Ohio MEDICAID 7100763640

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