Keyser, Kim L

Keyser, Kim L is an individual health care provider with primary practice located at 1325 Angels Path , De Pere WI 54115-4050. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Keyser, Kim L can be contacted via phone (920) 338-2855.

Contact Information

Primary practice address
1325 Angels Path De Pere WI 54115-4050
Phone: (920) 338-2855
Fax: (920) 338-9270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6889123 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6889-123 Wisconsin

Profile Details

NPI number 1780649434
LBN Legal business name Keyser, Kim L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Nov 23rd, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780649434 NPPES
Wisconsin MEDICAID 40923100

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