Individual
MS. KIMBERLY SUE VAN DORN-ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-5103
(816) 404-1519
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2677
(816) 404-5103
(816) 404-1519
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11327
KS
104100000X
Social Worker
Primary
2019027410
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490078592
—
MO
Enumeration date
11/01/2019
Last updated
12/10/2020
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