Harmon, Kim
Harmon, Kim is an individual health care provider with primary practice located at 200 4Th Ave W Government Center Rm 300, Shakopee MN 55379-1220. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Harmon, Kim can be contacted via phone (952) 496-8155.Contact Information
Primary practice address
200 4Th Ave W Government Center Rm 300
Shakopee MN 55379-1220
Phone: (952) 496-8155
Fax: (952) 496-8355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 843 | Minnesota |
Profile Details
| NPI number | 1093713935 |
|---|---|
| LBN Legal business name | Harmon, Kim |
| Credentials | MSW, LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Jul 20th, 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 | 1093713935 | NPPES |
| Minnesota | MEDICAID | 642058300 |
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