Kimberly Mcgowan in Grand Rapids - Clinical
Kimberly Mcgowan - NPI 1710063813
Kimberly Mcgowan is a Clinical in Grand Rapids, Michigan. Kimberly Mcgowan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kimberly Mcgowan is 1710063813. The last update date is 2022-05-03.
Kimberly Mcgowan's current location address is 300 68th St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164555000. The mailing address for Kimberly Mcgowan is 300 68th St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Mcgowan |
|---|---|
| Address | 300 68th St Se, Grand Rapids, Michigan |
| Phone Number | 6164555000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LLP |
NPI Number Detail
| NPI Number | 1710063813 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2022-05-03 |
Provider Mailing Address Detail
| Address | 300 68th St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495486927 |
| Phone Number | 6164555000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6361005107 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code assigned to Kimberly Mcgowan by the Centers for Medicare & Medicaid Services?
The Kimberly Mcgowan has been issued the NPI (National Provider Identifier) 1710063813, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kimberly Mcgowan is geographically located?
The Kimberly Mcgowan is physically situated at the following location: 300 68Th St Se, Grand Rapids, MI, 495486927.
What is Kimberly Mcgowan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kimberly Mcgowan is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date was the 1710063813 assigned to Kimberly Mcgowan?
The Kimberly Mcgowan was issued its 1710063813 on 2006-10-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kimberly Mcgowan's details last updated?
The information pertaining to the Kimberly Mcgowan, including its address, specialty, and other details, was most recently updated on 2022-05-03.