Tullos, Kimberly Ann
Tullos, Kimberly Ann is an individual health care provider with primary practice located at 1507 E. Race St. , Searcy AR 72143-4661. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tullos, Kimberly Ann can be contacted via phone (501) 305-2359.Contact Information
Primary practice address
1507 E. Race St.
Searcy AR 72143-4661
Phone: (501) 305-2359
Fax: (501) 305-2348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 5960-C | Arkansas |
Profile Details
| NPI number | 1780851048 |
|---|---|
| LBN Legal business name | Tullos, Kimberly Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2008 |
| Last updated | May 9th, 2018 - about 6 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 | 1780851048 | NPPES |
| Arkansas | Other | 5WW05 | BCBS |
| Arkansas | MEDICAID | 172646795 | BCBS |
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