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NPI Code Detail

MEDICARE: JOY KIMMINS

MEDICARE: JOY KIMMINS
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1922828425
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOY KIMMINS
Provider Business Mailing Address
First Line : 723 MCCHORD ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-5125
Country : US
Telephone Number : 808-295-9611
Fax Number :
Provider Business Practice Location Address
First Line : 1611 S MURRAY BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-4502
Country : US
Telephone Number : 719-316-3853
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2024
Last Update Date : 10/12/2024

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Directions to “ JOY KIMMINS ” Practice Location

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