Nelson, Kim P

Nelson, Kim P is an individual health care provider with primary practice located at 3812 27Th St , Moline IL 61265-6343. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Nelson, Kim P can be contacted via phone (309) 764-0069.

Contact Information

Primary practice address
3812 27Th St Moline IL 61265-6343
Phone: (309) 764-0069
Fax: (309) 764-0171
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 782002 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1386863660
LBN Legal business name Nelson, Kim P
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers