Yeagle, Kimberly Kay
Yeagle, Kimberly Kay is an sole proprietor health care provider with primary practice located at 1902 Osage Dr , Columbia MO 65202-5476. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Yeagle, Kimberly Kay can be contacted via phone (573) 474-2984.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 004461 | Missouri |
Profile Details
| NPI number | 1164408936 |
|---|---|
| LBN Legal business name | Yeagle, Kimberly Kay |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Jul 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164408936 | NPPES |
| Missouri | MEDICAID | 497695130 | |
| Missouri | Other | 004461 |
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