Kimbrough, Shantel
Kimbrough, Shantel is an individual health care provider with primary practice located at 4140 Cherry St , Winston Salem NC 27105-2536. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Kimbrough, Shantel can be contacted via phone (336) 306-9620.Contact Information
Primary practice address
4140 Cherry St
Winston Salem NC 27105-2536
Phone: (336) 306-9620
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1083234413 |
|---|---|
| LBN Legal business name | Kimbrough, Shantel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2020 |
| Last updated | Apr 27th, 2020 - about 6 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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