Individual
KIMBERLY ANN NEUHARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MHC
Contact information
Practice address
2307 OLIVE ST, ATLANTIC, IA 50022-9768
(712) 243-2606
Mailing address
2307 OLIVE ST, ATLANTIC, IA 50022-9768
(712) 243-2606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
077931
IA
207Q00000X
Family Medicine Physician
28764
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04875
WELLMARK BCBS
IA
05
—
1073403
—
IA
Enumeration date
12/07/2005
Last updated
10/07/2024
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