Bacon, Kimberly
Bacon, Kimberly is an individual health care provider with primary practice located at 112 W Main St , Purcell OK 73080-4220. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bacon, Kimberly can be contacted via phone (405) 527-1785.Contact Information
Primary practice address
112 W Main St
Purcell OK 73080-4220
Phone: (405) 527-1785
Fax: (405) 527-1084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 07469 | Oklahoma |
Profile Details
| NPI number | 1366818452 |
|---|---|
| LBN Legal business name | Bacon, Kimberly |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2015 |
| Last updated | Mar 9th, 2023 - about 3 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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