Johnson, Kimberly Petrae

Johnson, Kimberly Petrae is an individual health care provider with primary practice located at 137 E Main St , Georgetown KY 40324-1786. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Kimberly Petrae can be contacted via phone (859) 312-6400.

Contact Information

Primary practice address
137 E Main St Georgetown KY 40324-1786
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3292 Kentucky

Profile Details

NPI number 1679705479
LBN Legal business name Johnson, Kimberly Petrae
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2009
Last updated Jul 21st, 2022 - about 2 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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