Provider Demographics
NPI:1043425150
Name:DOWNARD, KIMBERLY FAITH
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:FAITH
Last Name:DOWNARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 HOWE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-4732
Mailing Address - Country:US
Mailing Address - Phone:916-993-4883
Mailing Address - Fax:916-993-4886
Practice Address - Street 1:650 HOWE AVE SUITE 200
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825
Practice Address - Country:US
Practice Address - Phone:916-993-4883
Practice Address - Fax:916-993-4886
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health