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NPI Profile for KIMBERLY GHOLAR in PRENTISS, MS.
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Health & Wellness Coach |
171400000X | |||
Phlebotomy |
246RP1900X |
| NPI Number | 1376714667 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/14/2008 | |
| Last updated | 02/08/2024 - About 2 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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KIMBERLY GHOLAR
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KIMBERLY GHOLAR