Individual
CODY RAY KIMBERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 N 1ST ST STE C, GLENWOOD, AR 71943-9252
(870) 356-7404
(870) 825-2060
Mailing address
3592 HIGHWAY 26 W, ARKADELPHIA, AR 71923-8391
(501) 625-0505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/24/2018
Last updated
07/02/2024
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