National Provider Identifier Database

KIMBALL J SARGENT, MSN, PMHCNS-BC – NPI #1174570808
Psychiatric/Mental Health, Adult

Contact Information

KIMBALL J SARGENT, MSN, PMHCNS-BC
7155 SUNSET LAKE RD
FUQUAY VARINA, NC  27526-8638
Phone: 919-838-0804
Fax: 919-838-1219
Website:
Specialty Taxonomy Code
* Psychiatric/Mental Health, Adult 364SP0809X
Mental Health 101YM0800X
Psychiatric/Mental Health 364SP0808X

* Indicates primary specialty

NPI Profile & details for KIMBALL J SARGENT

NPI Number 1174570808
Credentials MSN, PMHCNS-BC
Entity Individual
Enumeration date 05/28/2006
Last updated 01/13/2019 - About 7 years ago
Sole proprietor1 Yes
Identifiers
  • NC License #: 0261495-01
  • NC License #: 080028
  • NC Medicaid: 6004025
  • NC Other: 10079 BCBS PROVIDER #
  • NC Other: 232289 COMPSYCH CORP. PROV #
  • NC Other: C 2802004 UNITEDAMER.INS.CO. PROV #
  • NC Other: 527619 VALUE OPTIONS MHS #
Hospital affiliation n/a

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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