Peterson, David Kim
Peterson, David Kim is an individual health care provider with primary practice located at 125 Dons Way , Hot Springs AR 71913-3423. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Peterson, David Kim can be contacted via phone (501) 624-7111.Contact Information
Primary practice address
125 Dons Way
Hot Springs AR 71913-3423
Phone: (501) 624-7111
Fax: (501) 620-5109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | P8904003 | Arkansas |
Profile Details
| NPI number | 1497725899 |
|---|---|
| LBN Legal business name | Peterson, David Kim |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Dec 19th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497725899 | NPPES |
| Arkansas | MEDICAID | 116399726 | |
| Arkansas | Other | 5T108 |
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