Mr Kim Richard Dismukes, LPC is a
Counselor - Professional based in Dotham, Alabama. Mr Kim Richard Dismukes is licensed to practice in Alabama (license number 459) and his current practice location is
100 Westside Dr, Dotham, Alabama. He can be reached at his office (for appointments etc.) via phone at
(334) 793-2237.
NPI number for Mr Kim Richard Dismukes is 1417064320 and his current mailing address is 100 Westside Dr, Dothan, Alabama. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417064320.
Healthcare Provider's Profile
| Full Name | Mr Kim Richard Dismukes |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 100 Westside Dr, Dotham, Alabama |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417064320
- Provider Enumeration Date: 08/24/2006
- Last Update Date: 01/24/2019
Medical Identifiers
Medical identifiers for Mr Kim Richard Dismukes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417064320 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 459 (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kim Richard Dismukes is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Kim Richard Dismukes, LPC
100 Westside Dr,
Dothan, AL 36303-1908
Ph: (334) 793-2237 | Mr Kim Richard Dismukes, LPC
100 Westside Dr,
Dotham, AL 36303
Ph: (334) 793-2237 |
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