Individual
KIMBERLY CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
7570 W 21ST ST N STE A, WICHITA, KS 67205-1734
(316) 469-1106
(833) 392-1160
Mailing address
7570 W 21ST ST N STE A, WICHITA, KS 67205-1734
(316) 469-1106
(833) 392-1160
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05400
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004585050003
—
KS
Enumeration date
03/21/2017
Last updated
05/29/2025
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