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Individual
KIMBERLY A. MCKINLEY
Active
Individual
KIMBERLY A. MCKINLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.166917
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.170432
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCII.161730
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCIII.162563
OH
104100000X
Social Worker
S.2310011
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0387429
—
OH
Enumeration date
08/28/2018
Last updated
12/05/2024
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