| Kbccms, Llc | |
|
1501 Jackson Ave W Ste 113 Oxford MS 38655-2566 | |
| (832) 233-3086 | |
| (832) 415-3050 |
| Full Name | Kbccms, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1501 Jackson Ave W Ste 113, Oxford, Mississippi |
| Authorized Official Name and Position | Kimberly Linne Boyd (OWNER) |
| Authorized Official Contact | 8322333086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kbccms, Llc Po Box 5857 Kingwood TX 77325-5857 Ph: (832) 233-3086 | Kbccms, Llc 1501 Jackson Ave W Ste 113 Oxford MS 38655-2566 Ph: (832) 233-3086 |
| NPI Number | 1841899978 |
|---|---|
| Provider Enumeration Date | 10/20/2020 |
| Last Update Date | 10/20/2020 |
| Certification Date | 10/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841899978 | NPI | - | NPPES |
| 193200000X | Other | TAXONOMY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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