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NPI Code Detail

MEDICARE: KIM STEPPE MSW, LCSW

MEDICARE: KIM STEPPE MSW, LCSW
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
11041C0700XClinical Social Worker2005003958MO

General Provider Information

NPI Number : 1174687784
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM STEPPE MSW, LCSW
Provider Business Mailing Address
First Line : 908 N CHOCTAW AVE
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64056-1919
Country : US
Telephone Number : 816-716-7220
Fax Number :
Provider Business Practice Location Address
First Line : 17844 E 23RD ST S
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64057-1840
Country : US
Telephone Number : 816-254-3652
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2006
Last Update Date : 10/11/2013

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