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Contact Information

KIMBERLY L RUST, PhD
118 1/2 N. WOODLAND BLVD.
DELAND, FL32720
 Phone: 862-328-6233
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for KIMBERLY L RUST · (Female)

NPI # 1346546132
Status Active
Credentials PhD
Entity Individual
Enumeration date 01/27/2011
Last updated 10/14/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # SW9860
  • MO License # 2020020501
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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