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NPI Code Detail

MEDICARE: KIMBERLY ANN NEUHARTH MA, MHC

MEDICARE: KIMBERLY ANN NEUHARTH MA, MHC
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
1207Q00000XFamily Medicine Physician28764IA
2101YM0800XMental Health Counselor077931IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
104875OTHERIAWELLMARK BCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740265222
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ANN NEUHARTH MA, MHC
Provider Business Mailing Address
First Line : 2307 OLIVE ST
Second Line :
City : ATLANTIC
State : IA
Zip : 50022-9768
Country : US
Telephone Number : 712-243-2606
Fax Number :
Provider Business Practice Location Address
First Line : 2307 OLIVE ST
Second Line :
City : ATLANTIC
State : IA
Zip : 50022-9768
Country : US
Telephone Number : 712-243-2606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2005
Last Update Date : 10/07/2024

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Directions to “ KIMBERLY ANN NEUHARTH MA, MHC” Practice Location

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