| Kimberly Wilkins Psyd Llc | |
|
1344 W Oakville Rd Springfield MO 65810-1696 | |
| (417) 844-3982 | |
| (417) 881-0443 |
| Full Name | Kimberly Wilkins Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1344 W Oakville Rd, Springfield, Missouri |
| Authorized Official Name and Position | Kimberly Kay Wilkins (OWNER) |
| Authorized Official Contact | 4178443982 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Wilkins Psyd Llc 1344 W Oakville Rd Springfield MO 65810-1696 Ph: (417) 844-3982 | Kimberly Wilkins Psyd Llc 1344 W Oakville Rd Springfield MO 65810-1696 Ph: (417) 844-3982 |
| NPI Number | 1659786432 |
|---|---|
| Provider Enumeration Date | 06/30/2014 |
| Last Update Date | 06/30/2014 |
| Medicare PECOS PAC ID | 2062639578 |
|---|---|
| Medicare Enrollment ID | O20140806002644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659786432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kimberly Kay Wilkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639335219 PECOS PAC ID: 7618004854 Enrollment ID: I20100421000034 |
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