Stauffer, Kimm A

Stauffer, Kimm A is an individual health care provider with primary practice located at 74 Granville St , Newark OH 43055-4910. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Stauffer, Kimm A can be contacted via phone (740) 522-8477.

Contact Information

Primary practice address
74 Granville St Newark OH 43055-4910
Fax: (740) 788-3424
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ICDC.954408-CS Ohio

Profile Details

NPI number 1700220399
LBN Legal business name Stauffer, Kimm A
Credentials LICDC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2013
Last updated Apr 25th, 2013 - about 11 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.

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