Dirkes, Kimberly Kay

Dirkes, Kimberly Kay is an individual health care provider with primary practice located at 2231 Catlin Ave , Superior WI 54880-5137. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Dirkes, Kimberly Kay can be contacted via phone (715) 394-2054.

Contact Information

Primary practice address
2231 Catlin Ave Superior WI 54880-5137
Phone: (715) 394-2054
Fax: (715) 394-9182
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X 8319-120 Wisconsin

Profile Details

NPI number 1689888265
LBN Legal business name Dirkes, Kimberly Kay
Credentials BSW, MS
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Dec 2nd, 2020 - about 6 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 1689888265 NPPES
Wisconsin MEDICAID 39785100

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