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NPI Code Detail

MEDICARE: MRS. KIMBERLY CAMILLE THORPE LMSW

MEDICARE:  MRS. KIMBERLY CAMILLE THORPE  LMSW
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
1104100000XSocial Worker6801070137MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18008967660OTHERMIBCBSM

General Provider Information

NPI Number : 1740290311
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIMBERLY CAMILLE THORPE LMSW
Provider Business Mailing Address
First Line : PO BOX 227
Second Line :
City : NAZARETH
State : MI
Zip : 49074
Country : US
Telephone Number : 269-567-9409
Fax Number : 269-329-4077
Provider Business Practice Location Address
First Line : 615 W LOVELL ST
Second Line :
City : KALAMAZOO
State : MI
Zip : 49007-4615
Country : US
Telephone Number : 248-431-1371
Fax Number : 269-200-3088
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 01/24/2022

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Directions to “ MRS. KIMBERLY CAMILLE THORPE LMSW” Practice Location

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