Odegaard, Kimberley Diana

Odegaard, Kimberley Diana is an individual health care provider with primary practice located at 3721 23Rd St S Ste 201 , Saint Cloud MN 56301-6199. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Odegaard, Kimberley Diana can be contacted via phone (605) 271-2690.

Contact Information

Primary practice address
3721 23Rd St S Ste 201 Saint Cloud MN 56301-6199
Phone: (605) 271-2690
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1023440617
LBN Legal business name Odegaard, Kimberley Diana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2013
Last updated Apr 17th, 2024 - about 7 months 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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