Kim N Conrad in Janesville - Addiction (substance Use Disorder)
Kim N Conrad - NPI 1376711671
Kim N Conrad is a Addiction (substance Use Disorder) in Janesville, Wisconsin. Kim N Conrad practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kim N Conrad is 1376711671. The last update date is 2008-02-20.
Kim N Conrad's current location address is 612 N Randall Ave Ste A, Janesville, Wisconsin. You can contact this provider via phone number 6087527660 and fax number 6087529788. The mailing address for Kim N Conrad is 612 N Randall Ave Ste A, Janesville, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim N Conrad |
|---|---|
| Address | 612 N Randall Ave Ste A, Janesville, Wisconsin |
| Phone Number | 6087527660 |
| Fax Number | 6087529788 |
| Sole Proprietor | N |
| Credentials | CSAC, ICS |
NPI Number Detail
| NPI Number | 1376711671 |
|---|---|
| Provider Enumeration Date | 2008-02-20 |
| Last Updated Date | 2008-02-20 |
Provider Mailing Address Detail
| Address | 612 N Randall Ave Ste A |
|---|---|
| City | Janesville |
| State | Wisconsin (WI) |
| Post Code | 535451958 |
| Phone Number | 6087527660 |
| Fax Number | 6087529788 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 11905-134 & |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique identifier code issued to Kim N Conrad by the Centers for Medicare & Medicaid Services?
The Kim N Conrad has been assigned the NPI (National Provider Identifier) 1376711671. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kim N Conrad is located?
The Kim N Conrad is situated at the following address: 612 N Randall Ave Ste A, Janesville, WI, 535451958.
What is Kim N Conrad's area of expertise and its corresponding taxonomy classification?
The Kim N Conrad's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kim N Conrad receive the assignment of its 1376711671 from the Centers for Medicare & Medicaid Services?
The Kim N Conrad was issued its 1376711671 by the Centers for Medicare & Medicaid Services on 2008-02-20.
When was the information pertaining to Kim N Conrad most recently updated or revised?
The details related to Kim N Conrad, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-20.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC