Allen, Kimberly Renee

Allen, Kimberly Renee is an sole proprietor health care provider with primary practice located at 2711 W 15Th St , Panama City FL 32401-1366. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Allen, Kimberly Renee can be contacted via phone (850) 769-6001.

Contact Information

Primary practice address
2711 W 15Th St Panama City FL 32401-1366
Phone: (850) 769-6001
Fax: (850) 769-6003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1538582556
LBN Legal business name Allen, Kimberly Renee
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2014
Last updated Feb 6th, 2019 - 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 1538582556 NPPES
Florida MEDICAID 019867200

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