Provider Demographics
NPI:1598023327
Name:KINGDOM COMMUNITY MINISTRIES
Entity Type:Organization
Organization Name:KINGDOM COMMUNITY MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MANNIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMIN
Authorized Official - Phone:661-324-4070
Mailing Address - Street 1:5330 OFFICE CENTER CT
Mailing Address - Street 2:SUITE #27
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-1562
Mailing Address - Country:US
Mailing Address - Phone:661-324-4070
Mailing Address - Fax:
Practice Address - Street 1:5330 OFFICE CENTER CT
Practice Address - Street 2:SUITE #27
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-1562
Practice Address - Country:US
Practice Address - Phone:661-324-4070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-30
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty