Kim, Lisa Ann

Kim, Lisa Ann is an individual health care provider with primary practice located at 673 Westbury Drive Suite 201, Iowa City IA 52245-2723. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kim, Lisa Ann can be contacted via phone (319) 356-6352.

Contact Information

Primary practice address
673 Westbury Drive Suite 201 Iowa City IA 52245-2723
Phone: (319) 356-6352
Fax: (319) 358-2367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X O5673 Iowa

Profile Details

NPI number 1497722417
LBN Legal business name Kim, Lisa Ann
Credentials M.A., L.I.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated May 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497722417 NPPES
Iowa MEDICAID 225545000

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