Individual
KIMBERLEY ANN SEVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 JUANIPERO WAY, MEDFORD, OR 97504-8580
(541) 816-4131
(458) 226-2163
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
(541) 858-8167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
201800196RN
OR
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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