Provider Demographics
NPI:1346872561
Name:FLORENCE, KIMBERLY DENISE (MSC)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:DENISE
Last Name:FLORENCE
Suffix:
Gender:F
Credentials:MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 MOCKINGBIRD DR
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-5050
Mailing Address - Country:US
Mailing Address - Phone:502-664-9225
Mailing Address - Fax:833-953-0891
Practice Address - Street 1:4613 GREENWOOD RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40258-3725
Practice Address - Country:US
Practice Address - Phone:502-664-9225
Practice Address - Fax:833-953-0891
Is Sole Proprietor?:No
Enumeration Date:2020-02-05
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist