Moffett, Kimberly
Moffett, Kimberly is an individual health care provider with primary practice located at 703 Pro-Med Ln , Carmel IN 46032-5317. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moffett, Kimberly can be contacted via phone (317) 843-9922.Contact Information
Primary practice address
703 Pro-Med Ln
Carmel IN 46032-5317
Phone: (317) 843-9922
Fax: (317) 581-3918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34004509A | Indiana |
Profile Details
| NPI number | 1982689568 |
|---|---|
| LBN Legal business name | Moffett, Kimberly |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Jan 17th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982689568 | NPPES |
| Indiana | MEDICAID | 100381890 |
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