Provider Demographics
NPI:1831610500
Name:MARPLE, KIMALEE MARPLE K
Entity type:Individual
Prefix:
First Name:KIMALEE MARPLE
Middle Name:K
Last Name:MARPLE
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 1:1305 NE 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-5508
Mailing Address - Country:US
Mailing Address - Phone:866-313-4637
Mailing Address - Fax:
Practice Address - Street 1:1305 NE 3RD ST
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-5508
Practice Address - Country:US
Practice Address - Phone:866-313-4637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-03
Last Update Date:2017-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor