Wright-Fairman, Kimber

Wright-Fairman, Kimber is an sole proprietor health care provider with primary practice located at 2620 Timid Tiger Ave , North Las Vegas NV 89086-1402. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wright-Fairman, Kimber can be contacted via phone (702) 324-8141.

Contact Information

Primary practice address
2620 Timid Tiger Ave North Las Vegas NV 89086-1402
Phone: (702) 324-8141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8041-C Nevada

Profile Details

NPI number 1245450634
LBN Legal business name Wright-Fairman, Kimber
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2007
Last updated Sep 25th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245450634 NPPES
Nevada MEDICAID 100511745

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