Blackford, Kymberlee A
Blackford, Kymberlee A is an individual health care provider with primary practice located at 777 N Jefferson St Ste 408 Pmb 1250, Milwaukee WI 53202-1924. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blackford, Kymberlee A can be contacted via phone (414) 367-8494.Contact Information
Primary practice address
777 N Jefferson St Ste 408 Pmb 1250
Milwaukee WI 53202-1924
Phone: (414) 367-8494
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 33009525A | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 11603-123 | Wisconsin |
Profile Details
| NPI number | 1811669765 |
|---|---|
| LBN Legal business name | Blackford, Kymberlee A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2021 |
| Last updated | Jan 31st, 2025 - about last year |
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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