Basic Information
Provider Information
NPI: 1942691456
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KIHM
FirstName: KARA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 23 NIXON TER
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288051512
CountryCode: US
TelephoneNumber: 5712745109
FaxNumber:  
Practice Location
Address1: 1100 RIDGEFIELD BLVD
Address2: SUITE 190
City: ASHEVILLE
State: NC
PostalCode: 288066209
CountryCode: US
TelephoneNumber: 8286707723
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/05/2015
LastUpdateDate: 09/07/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
104100000XC009245NCY Behavioral Health & Social Service ProvidersSocial Worker 
1041C0700XC009245NCN Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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