KIMBERLY CONRAD NPI 1720435431

NPI Information

NPI: 1720435431
Provider Name: KIMBERLY CONRAD
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1111 S GLENSTONE AVE
SUITE 3-100
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 869-8911
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Kimberly Conrad is a professional counselor in Springfield, MO. Kimberly Conrad NPI is 1720435431. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1111 S GLENSTONE AVE
SUITE 3-100
SPRINGFIELD, MO
ZIP 65804-338
Phone: (417) 869-8911

The enumeration date for this NPI number is 5/23/2016 and was last updated on 11/14/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103K00000X	Behavior Analyst		2016038827	MISSOURI	No
2	101YP2500X	Counselor	Professional	2004014918	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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