Hart, Kimberly Ann

Hart, Kimberly Ann is an individual health care provider with primary practice located at 290 N. Annie Glidden Drive, Gh 416 Niu, Dekalb IL 60115. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Hart, Kimberly Ann can be contacted via phone (815) 753-9312.

Contact Information

Primary practice address
290 N. Annie Glidden Drive, Gh 416 Niu Dekalb IL 60115
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 2235576 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178009491 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180012371 Illinois

Profile Details

NPI number 1164902219
LBN Legal business name Hart, Kimberly Ann
Credentials PHD, LCPC, NCC, ACS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2018
Last updated Sep 24th, 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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