Nelson, Kimberly Simonne

Nelson, Kimberly Simonne is an individual health care provider with primary practice located at 140 Kimel Park Dr Ste 101 , Winston Salem NC 27103-6185. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Nelson, Kimberly Simonne can be contacted via phone (336) 718-7280.

Contact Information

Primary practice address

140 Kimel Park Dr Ste 101 Winston Salem NC 27103-6185

Phone: (336) 718-7280

Fax: (336) 718-7290

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Professional	101YP2500X	4349	North Carolina

Profile Details

NPI number	1356497325
LBN Legal business name	Nelson, Kimberly Simonne
Credentials	LCMHC
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jan 25th, 2007
Last updated	Aug 4th, 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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Identifiers

State	Type	Number	Issuer
All States	NPI	1356497325	NPPES
North Carolina	MEDICAID	6102130
North Carolina	Other	137PU

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