Randolph, Kimberly

Randolph, Kimberly is an individual health care provider with primary practice located at 18169 Cardinal Ln , Gulfport MS 39503-5677. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Randolph, Kimberly can be contacted via phone (228) 343-5150.

Contact Information

Primary practice address
18169 Cardinal Ln Gulfport MS 39503-5677
Phone: (228) 343-5150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 2968 Mississippi

Profile Details

NPI number 1801333182
LBN Legal business name Randolph, Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2017
Last updated Nov 6th, 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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