MEDICARE: MRS. KIMBERLY RING M.S.,LPC

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
1	101YP2500X	Professional Counselor	PC 002771	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	03198301	OTHER	PA	CAPITAL BLUE CROSS
2	350928	OTHER	PA	MANAGED HEALTH NETWORK
3	182549804	OTHER	PA	UBH

General Provider Information

NPI Number	:	1336174168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KIMBERLY RING M.S.,LPC

Provider Business Mailing Address
First Line	:	244 BUCKHEAD LN
Second Line	:
City	:	DOUGLASSVILLE
State	:	PA
Zip	:	19518-9629
Country	:	US
Telephone Number	:	610-858-8743
Fax Number	:	610-481-0088

Provider Business Practice Location Address
First Line	:	758 N BROOKSIDE RD
Second Line	:
City	:	WESCOSVILLE
State	:	PA
Zip	:	18106-9715
Country	:	US
Telephone Number	:	610-858-8743
Fax Number	:	610-858-8743

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	09/12/2014

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