Kim, Megan Elizabeth

Kim, Megan Elizabeth is an individual health care provider with primary practice located at 1128 Beville Rd , Daytona Beach FL 32114-5747. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Kim, Megan Elizabeth can be contacted via phone (866) 610-0580.

Contact Information

Primary practice address
1128 Beville Rd Daytona Beach FL 32114-5747
Phone: (866) 610-0580
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1225576432
LBN Legal business name Kim, Megan Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2017
Last updated Feb 8th, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225576432 NPPES
Florida MEDICAID 009093700

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