Glover, Kimella Denise
Glover, Kimella Denise is an sole proprietor health care provider with primary practice located at 1215 Ne 59Th St , Oklahoma City OK 73111-7403. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Glover, Kimella Denise can be contacted via phone (405) 630-4329.Contact Information
Primary practice address
1215 Ne 59Th St
Oklahoma City OK 73111-7403
Phone: (405) 630-4329
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1245522515 |
|---|---|
| LBN Legal business name | Glover, Kimella Denise |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2011 |
| Last updated | May 5th, 2011 - about 15 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 | 1245522515 | NPPES |
| Oklahoma | MEDICAID | 200123000A |
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