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:
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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356497325 | NPPES |
| North Carolina | MEDICAID | 6102130 | |
| North Carolina | Other | 137PU |
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