Keller, Kimberly Dawn
Keller, Kimberly Dawn is an individual health care provider with primary practice located at 1130 Garbry Rd , Piqua OH 45356-8217. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Keller, Kimberly Dawn can be contacted via phone (513) 941-4999.Contact Information
Primary practice address
1130 Garbry Rd
Piqua OH 45356-8217
Phone: (513) 941-4999
Fax: (513) 694-0168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CDCA.170581 | Ohio |
Profile Details
| NPI number | 1396375911 |
|---|---|
| LBN Legal business name | Keller, Kimberly Dawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2020 |
| Last updated | May 11th, 2023 - about last year |
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 | 1396375911 | NPPES |
| Ohio | MEDICAID | 0422413 |
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