Kimberely L Ingram in Salem - Professional
Kimberely L Ingram - NPI 1790761617
Kimberely L Ingram is a Professional in Salem, Missouri. Kimberely L Ingram practices all healthcare services and medical treatments related to Professional. The NPI Number for Kimberely L Ingram is 1790761617. The last update date is 2019-03-27.
Kimberely L Ingram's current location address is 913 S Pershing Ave, Salem, Missouri. You can contact this provider via phone number 8884031071. The mailing address for Kimberely L Ingram is 913 S Pershing Ave, Salem, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberely L Ingram |
|---|---|
| Address | 913 S Pershing Ave, Salem, Missouri |
| Phone Number | 8884031071 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1790761617 |
|---|---|
| Provider Enumeration Date | 2005-12-22 |
| Last Updated Date | 2019-03-27 |
Provider Mailing Address Detail
| Address | 913 S Pershing Ave |
|---|---|
| City | Salem |
| State | Missouri (MO) |
| Post Code | 655601845 |
| Phone Number | 8884031071 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 2631 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 495023707 | MO | -- |
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What is the unique identifier code issued to Kimberely L Ingram by the Centers for Medicare & Medicaid Services?
The Kimberely L Ingram has been assigned the NPI (National Provider Identifier) 1790761617. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kimberely L Ingram located?
The Kimberely L Ingram is located at 913 S Pershing Ave, Salem, MO 655601845.
What is Kimberely L Ingram's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kimberely L Ingram is Professional, and the taxonomy classification code that categorizes this area of expertise is 101Yp2500X.
When did Kimberely L Ingram receive its 1790761617 assignment?
The Kimberely L Ingram was assigned its 1790761617 on 2005-12-22, which is the date when this unique identifier was issued to the organization.
As of what date were the Kimberely L Ingram's details last updated?
The information pertaining to the Kimberely L Ingram, including its address, specialty, and other details, was most recently updated on 2019-03-27.
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