| Shari K Kimball, LCSW | |
|
1185 Highway 412 W, Siloam Springs, AR 72761-4551 | |
| (479) 373-1113 | |
| Not Available |
| Full Name | Shari K Kimball |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1185 Highway 412 W, Siloam Springs, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821472655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 111915-C (Arkansas) | Primary |
| Entity Name | Pt Concepts Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164931291 PECOS PAC ID: 1951669852 Enrollment ID: O20171226000989 |
| Mailing Address | Practice Location Address |
|---|---|
| Shari K Kimball, LCSW 1185 Highway 412 W, Siloam Springs, AR 72761-4551 Ph: (479) 599-9603 | Shari K Kimball, LCSW 1185 Highway 412 W, Siloam Springs, AR 72761-4551 Ph: (479) 373-1113 |
Charles Matthew Plummer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 710 S Holly St, Siloam Springs, AR 72761 Phone: 479-750-2020 Fax: 479-524-5197 | |
Jessica Gibson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 S Mount Olive St # 200, Siloam Springs, AR 72761 Phone: 479-524-9550 | |
Kristie D Morgan, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 710 S Holly St, Siloam Springs, AR 72761 Phone: 479-524-8618 Fax: 479-750-4843 | |
Allison Paige Wallace, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 827 W Harvard St, Siloam Springs, AR 72761 Phone: 479-549-3121 |