Komon, Kimberly Elaine

Komon, Kimberly Elaine is an individual health care provider with primary practice located at 502 N Carroll Ave Ste 120 , Southlake TX 76092-6449. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Komon, Kimberly Elaine can be contacted via phone (682) 292-7012.

Contact Information

Primary practice address
502 N Carroll Ave Ste 120 Southlake TX 76092-6449
Phone: (682) 292-7012
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 33548 Texas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 34352 Texas

Profile Details

NPI number 1972385615
LBN Legal business name Komon, Kimberly Elaine
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2023
Last updated Oct 17th, 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.

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