Wood, Kimberley M
Wood, Kimberley M is an individual health care provider with primary practice located at 2537 Eisenhower Rd , Ottawa KS 66067-9482. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wood, Kimberley M can be contacted via phone (785) 242-3780.Contact Information
Primary practice address
2537 Eisenhower Rd
Ottawa KS 66067-9482
Phone: (785) 242-3780
Fax: (785) 242-6397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC 2024 | Kansas |
Profile Details
| NPI number | 1750533998 |
|---|---|
| LBN Legal business name | Wood, Kimberley M |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2008 |
| Last updated | Apr 9th, 2012 - about 12 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 | 1750533998 | NPPES |
| Kansas | MEDICAID | 200575280A |
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