Austin, Kimberly Jolene

Austin, Kimberly Jolene is an individual health care provider with primary practice located at 3604 N 10Th St , Ocean Springs MS 39564-9485. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Austin, Kimberly Jolene can be contacted via phone (228) 342-2446.

Contact Information

Primary practice address
3604 N 10Th St Ocean Springs MS 39564-9485
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1346498821
LBN Legal business name Austin, Kimberly Jolene
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2008
Last updated Apr 29th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346498821 NPPES
Mississippi MEDICAID 00018214

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