Individual
DR. KIMBERLY S DELGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
815 S ASH ST, NEVADA, MO 64772-3222
(417) 667-8352
(417) 667-9216
Mailing address
216 W CHERRY ST, NEVADA, MO 64772-3362
(417) 448-8960
(417) 448-6555
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2002017416
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33118011
BLUE CROSS BLUE SHIELD
MO
05
—
495908006
—
MO
Enumeration date
11/10/2005
Last updated
11/17/2020
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