Kaitlin King, Llc. | |
408 E. Dodds Bloomington IN 47401-4819 | |
(812) 287-3616 | |
Not Available |
Full Name | Kaitlin King, Llc. |
---|---|
Speciality | Social Worker - Clinical |
Location | 408 E. Dodds, Bloomington, Indiana |
Authorized Official Name and Position | Kiana-marie Vaughn (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 8123453055 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kaitlin King, Llc. 408 E. Dodds Bloomington IN 47401-4819 Ph: (812) 287-3616 | Kaitlin King, Llc. 408 E. Dodds Bloomington IN 47401-4819 Ph: (812) 287-3616 |
NPI Number | 1942852488 |
---|---|
Provider Enumeration Date | 07/15/2019 |
Last Update Date | 07/15/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942852488 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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