Brogden, Kimberly
Brogden, Kimberly is an sole proprietor health care provider with primary practice located at 208 Malloy St Suite E, Goldsboro NC 27534-4478. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Brogden, Kimberly can be contacted via phone (919) 778-5594.Contact Information
Primary practice address
208 Malloy St Suite E
Goldsboro NC 27534-4478
Phone: (919) 778-5594
Fax: (919) 778-5633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C001691 | North Carolina |
Profile Details
| NPI number | 1518933324 |
|---|---|
| LBN Legal business name | Brogden, Kimberly |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Mar 19th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518933324 | NPPES |
| North Carolina | MEDICAID | 6106132 | |
| North Carolina | Other | 200173438 |
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