Zimmerman, Kelly Renee

Zimmerman, Kelly Renee is an sole proprietor health care provider with primary practice located at 706 Waxwing Ct , Boiling Springs SC 29316-5379. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Nursing Service Related Providers / Religious Nonmedical Practitioner. Nursing Service Related Providers / Religious Nonmedical Practitioner is her primary health care specialty. Zimmerman, Kelly Renee can be contacted via phone (864) 541-2755.

Contact Information

Primary practice address
706 Waxwing Ct Boiling Springs SC 29316-5379
Phone: (864) 541-2755
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Nursing Service Related Providers / Religious Nonmedical Practitioner 374K00000X

Profile Details

NPI number 1609215227
LBN Legal business name Zimmerman, Kelly Renee
Credentials AADCP-IP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2013
Last updated Oct 18th, 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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