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NPI Code Detail

MEDICARE: MRS. KIMBERLY DONAT ALI L.C.S.W.

MEDICARE:  MRS. KIMBERLY DONAT ALI  L.C.S.W.
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
1101Y00000XCounselorSW6302FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396807137
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIMBERLY DONAT ALI L.C.S.W.
Provider Business Mailing Address
First Line : 6739 1ST AVENUE SOUTH
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33707-1307
Country : US
Telephone Number : 727-341-1000
Fax Number : 727-341-1000
Provider Business Practice Location Address
First Line : 6739 1ST AVE S
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33707-1307
Country : US
Telephone Number : 727-341-1000
Fax Number : 727-341-1000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2006
Last Update Date : 09/25/2013

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Directions to “ MRS. KIMBERLY DONAT ALI L.C.S.W.” Practice Location

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