Mickens, Kimberly Natashia

Mickens, Kimberly Natashia is an sole proprietor health care provider with primary practice located at 275A Thomson Rd , Washington GA 30673-4313. She recently has 6 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Agencies / Home Health, Agencies / Nursing Care, Ambulatory Health Care Facilities / Developmental Disabilities, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Agencies / Day Training, Developmentally Disabled Services. Agencies / Day Training, Developmentally Disabled Services is her primary health care specialty. Mickens, Kimberly Natashia can be contacted via phone (706) 338-8350.

Contact Information

Primary practice address
275A Thomson Rd Washington GA 30673-4313
Phone: (706) 338-8350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN099093 Georgia
Agencies / Home Health 251E00000X LPN099093 Georgia
Agencies / Nursing Care 251J00000X LPN099093 Georgia
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X LPN099093 Georgia
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X LPN099093 Georgia
Agencies / Day Training, Developmentally Disabled Services 251C00000X LPN099093 Georgia

Profile Details

NPI number 1477334415
LBN Legal business name Mickens, Kimberly Natashia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2023
Last updated Oct 6th, 2023 - 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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