Wenzsherrill, Kimberly G
Wenzsherrill, Kimberly G is an sole proprietor health care provider with primary practice located at 329 Madison St , Paducah KY 42001-0765. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wenzsherrill, Kimberly G can be contacted via phone (270) 748-5638.Contact Information
Primary practice address
329 Madison St
Paducah KY 42001-0765
Phone: (270) 748-5638
Fax: (270) 499-7532
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3482 | Kentucky |
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
NPI number | 1780747774 |
---|---|
LBN Legal business name | Wenzsherrill, Kimberly G |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 19th, 2006 |
Last updated | Mar 4th, 2019 - 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 | 1780747774 | NPPES |
Kentucky | Other | 3482 | LCSW |
Kentucky | MEDICAID | 7100277890 | LCSW |
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