Moss, Kimm M

Moss, Kimm M is an individual health care provider with primary practice located at 105 Hospital Rd , Sonora CA 95370-4618. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Moss, Kimm M can be contacted via phone (209) 533-6245.

Contact Information

Primary practice address
105 Hospital Rd Sonora CA 95370-4618
Phone: (209) 533-6245
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 32714 California
Behavioral Health & Social Service Providers / Social Worker 104100000X LCSW71003 California

Profile Details

NPI number 1336547629
LBN Legal business name Moss, Kimm M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2014
Last updated Jul 11th, 2024 - about 2 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.

Request for update

Popular Providers