Malloy, Kimberley Michelle

Malloy, Kimberley Michelle is an individual health care provider with primary practice located at 988 N Illinois Route 3 , Waterloo IL 62298-1000. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Malloy, Kimberley Michelle can be contacted via phone (618) 939-4444.

Contact Information

Primary practice address
988 N Illinois Route 3 Waterloo IL 62298-1000
Phone: (618) 939-4444
Fax: (618) 939-4181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180008895 Illinois

Profile Details

NPI number 1437588159
LBN Legal business name Malloy, Kimberley Michelle
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2013
Last updated Feb 23rd, 2024 - 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.

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