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General NPI Number Information
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NPI Number | 1386309318
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Entity Type | Organization
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Legal Business Name | OAK HAVEN PSYCHIATRY, LLC
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Dates
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Enumeration Date | 11/04/2021
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 730 FAIRVIEW AVE STE A5
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City | BOWLING GREEN
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State | KY
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Zip | 42101-2383
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Country | US
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Telephone | 270-935-5117
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Fax | 270-935-5118
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Provider Business Mailing Address
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Address Line | PO BOX 50754
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City | BOWLING GREEN
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State | KY
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Zip | 42102-3954
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Country | US
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Telephone | 270-935-5117
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Fax | 270-935-5118
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Authorized Official
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Title or Position | PMHNP-BC, FNP-C, OWNER
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Name | DR. KIMBERLY ZIMMERMAN
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Credential | DNP, APRN
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Telephone | 270-935-5117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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