Coker, Kimberly
Coker, Kimberly is an sole proprietor health care provider with primary practice located at 18426 W Dalea Dr , Goodyear AZ 85338-2625. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Coker, Kimberly can be contacted via phone (623) 707-7107.Contact Information
Primary practice address
18426 W Dalea Dr
Goodyear AZ 85338-2625
Phone: (623) 707-7107
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC-20790 | Arizona |
Profile Details
| NPI number | 1720786262 |
|---|---|
| LBN Legal business name | Coker, Kimberly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2023 |
| Last updated | Feb 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720786262 | NPPES |
| Arizona | MEDICAID | 0107111979 |
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