Individual
KIMBERLY ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-8355
(931) 645-3552
Mailing address
BLDG 7298 NIGHT STALKER WAY, FORT CAMPBELL, KY 42223
(270) 798-6438
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801095051
MI
Other
Enumeration date
10/16/2013
Last updated
04/01/2026
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