Mowry, Kimberly L

Mowry, Kimberly L is an individual health care provider with primary practice located at 915 S Riverside Dr Ne , Mcconnelsville OH 43756-9102. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Nursing Service Providers / Licensed Practical Nurse. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Mowry, Kimberly L can be contacted via phone (740) 962-5204.

Contact Information

Primary practice address
915 S Riverside Dr Ne Mcconnelsville OH 43756-9102
Phone: (740) 962-5204
Fax: (740) 962-3688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN153688 M IV Ohio

Profile Details

NPI number 1538521562
LBN Legal business name Mowry, Kimberly L
Credentials LPN, QMHS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2016
Last updated Apr 2nd, 2020 - about 4 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 1538521562 NPPES
Ohio MEDICAID 0185304

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