Hays, Kimberly A
Hays, Kimberly A is an sole proprietor health care provider with primary practice located at 2422 E Washington St Washington Arches Ii, Suite 108, Bloomington IL 61704-4478. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hays, Kimberly A can be contacted via phone (309) 310-1759.Contact Information
Primary practice address
2422 E Washington St Washington Arches Ii, Suite 108
Bloomington IL 61704-4478
Phone: (309) 310-1759
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 071004504 | Illinois |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071004504 | Illinois |
Profile Details
| NPI number | 1255447322 |
|---|---|
| LBN Legal business name | Hays, Kimberly A |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Aug 30th, 2011 - about 13 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 | 1255447322 | NPPES |
| Illinois | Other | 05732103 | BLUE CROSS BLUE SHIELD |
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