CAROL SUE KIMBRO LPC NPI 1972806149

NPI Information

NPI: 1972806149
Provider Name: CAROL SUE KIMBRO, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
504 E 24TH ST
TISHOMINGO, OK
ZIP 73460
Phone: (580) 371-9933
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Carol Sue Kimbro, LPC is a mental health counselor in Tishomingo, OK with 31 years of experience. Carol Sue Kimbro, LPC NPI is 1972806149. 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:

504 E 24TH ST
TISHOMINGO, OK
ZIP 73460-214
Phone: (580) 371-9933
Fax: (580) 371-9944

The NPI 1972806149 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/9/2010 and was last updated on 12/9/2010.

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	101YM0800X	Counselor	Mental Health	3839	OKLAHOMA	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: 5/5/2024

NPI Synchronization or Removal

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