Individual provider · NPI-1

Kimberly Adams

Case Manager/Care Coordinator · Baton Rouge, LA

NPI number1184254583
StatusActive
Last updated in NPPESJul 11, 2022

Details

NPI
1184254583
Entity type
Individual (NPI-1)
Name
Kimberly Adams
Sex
Female
Sole proprietor
No
Enumeration date
Jan 24, 2020
Certification date
Jul 11, 2022
Last updated
Jul 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
175T00000X Peer Specialist––

Practice location

8326 Kelwood Ave
Baton Rouge, LA 70806-4803

Phone 225-478-9635

Mailing address

8326 Kelwood Ave
Baton Rouge, LA 70806-4803

Other practice locations

8326 Kelwood Ave
Baton Rouge, LA 70806-4803

Phone 225-478-9685

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