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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TIFFANY KIMBROUGH, COTA

Active Sole Proprietor

MRS. TIFFANY KIMBROUGH, COTA is a Community Health Worker healthcare provider located in INDEPENDENCE, Missouri. NPI 1801347448 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · INDEPENDENCE, MO

Registration Details

NPI Number
1801347448
Provider Type
Individual
Gender
Female
NPI Issued
Oct 19, 2016 (9.8516186614886 yrs)
Last Updated
Oct 19, 2016
License
2011015347 (MO)
Sole Proprietor
Yes

Practice Information

Address
3980 SOUTH JACKSON DRIVE
INDEPENDENCE, MO, 64057
Browse MO providers · Browse ZIP 64057
Phone
8164785605
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in INDEPENDENCE, MO

Name Credential NPI
MS. LAURA ELLEN O'DELL LMT 1588914808
MICHELLE BRADLEY 1568098259
MARCHELLE PRYOR 1811707367
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.