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NPI Code Detail

MEDICARE: KIMBERLY BADINGER

MEDICARE: KIMBERLY BADINGER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor4256LA

General Provider Information

NPI Number : 1326603994
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY BADINGER
Provider Business Mailing Address
First Line : 9228 FLORIDA BLVD APT 9
Second Line :
City : BATON ROUGE
State : LA
Zip : 70815-1114
Country : US
Telephone Number : 225-907-6479
Fax Number :
Provider Business Practice Location Address
First Line : 216 S FOSTER DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-4103
Country : US
Telephone Number : 225-389-3325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2019
Last Update Date : 05/08/2019

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Directions to “ KIMBERLY BADINGER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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