Green, Kimberly D.
Green, Kimberly D. is an sole proprietor health care provider with primary practice located at 667 Spring Drive Ext , Winston Salem NC 27107-9788. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Green, Kimberly D. can be contacted via phone (253) 225-5418.Contact Information
Primary practice address
667 Spring Drive Ext
Winston Salem NC 27107-9788
Phone: (253) 225-5418
Fax: (877) 410-5513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LF00002194 | Washington |
Profile Details
| NPI number | 1275514077 |
|---|---|
| LBN Legal business name | Green, Kimberly D. |
| Credentials | M.ED, LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Jul 7th, 2022 - about 4 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 | 1275514077 | NPPES |
| Washington | MEDICAID | 1091299 |
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