Provider Information for 1932355252
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KIMBERLY JEAN ADAMS LPC
Sex: Female
NPI: 1932355252
Last Updated: 2024-03-08
Certification Date: 2024-03-08
Certification Date: 2024-03-08
Details
| Name | Value | ||||||||
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| NPI | 1932355252 | ||||||||
| Enumeration Date | 2008-08-18 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1601 OLD SOUTH RIVER RD SAINT CHARLES, MO 63303-4120 United States Phone: 636-224-1210 | Fax:636-246-1008 | ||||||||
| Primary Practice Address | 2114 SE WASHINGTON BLVD BARTLESVILLE, OK 74006-7254 United States Phone: 918-876-4211 | Fax: | ||||||||
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