Kirk, Kimberly

Kirk, Kimberly is an individual health care provider with primary practice located at 2796 Mack Rd , Fairfield OH 45014-5129. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Kirk, Kimberly can be contacted via phone (513) 861-1100.

Contact Information

Primary practice address
2796 Mack Rd Fairfield OH 45014-5129
Phone: (513) 861-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDC.141082-3 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X C.0500898-CR Ohio

Profile Details

NPI number 1467851394
LBN Legal business name Kirk, Kimberly
Credentials PC-CR, LCDC III
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2014
Last updated Aug 15th, 2014 - about 10 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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