KIMBERLY A. MCKINLEY NPI 1487135323

NPI Information

NPI: 1487135323
Provider Name: KIMBERLY A. MCKINLEY
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1421 PARKER CT
SPRINGFIELD, OH
ZIP 45504
Phone: (513) 941-4999
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Kimberly A. Mckinley is an addiction (substance use disorder) counselor in Springfield, OH. Kimberly A. Mckinley NPI is 1487135323. 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:

1421 PARKER CT
SPRINGFIELD, OH
ZIP 45504-855
Phone: (513) 941-4999
Fax: (513) 694-0168

The enumeration date for this NPI number is 8/28/2018 and was last updated on 11/28/2023.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA.170432	OHIO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA.166917	OHIO	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCDCII.161730	OHIO	No
4	104100000X	Social Worker		S.2310011	OHIO	No
5	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCDCIII.162563	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0387429	MEDICAID	OHIO

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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