Kimple, Denise
Kimple, Denise is an sole proprietor health care provider with primary practice located at 931 Highway 80 W , Jackson MS 39204-3912. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Kimple, Denise can be contacted via phone (601) 354-7866.Contact Information
Primary practice address
931 Highway 80 W
Jackson MS 39204-3912
Phone: (601) 354-7866
Fax: (601) 354-6866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Homemaker | 376J00000X | 32005166 | Mississippi |
Profile Details
| NPI number | 1578874335 |
|---|---|
| LBN Legal business name | Kimple, Denise |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2010 |
| Last updated | Jun 27th, 2010 - about 14 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 | 1578874335 | NPPES |
| Mississippi | MEDICAID | 06979709 |
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