Doerge, Kim Anne
Doerge, Kim Anne is an sole proprietor health care provider with primary practice located at 757 Tahlequah Ln , Cape Girardeau MO 63701-8145. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Doerge, Kim Anne can be contacted via phone (636) 328-5641.Contact Information
Primary practice address
757 Tahlequah Ln
Cape Girardeau MO 63701-8145
Phone: (636) 328-5641
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 004678 | Missouri |
Profile Details
| NPI number | 1497920060 |
|---|---|
| LBN Legal business name | Doerge, Kim Anne |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2008 |
| Last updated | May 27th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497920060 | NPPES |
| Missouri | Other | 004678 | LCSW |
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