Most Relevant Information
Provider Data
| NPI Number: | 1003260175 |
| Provider Name: | DENA KIME M.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/14/2016 |
| Last Updated: | 04/14/2016 |
Provider Practice Location
4114 N WATER TOWER PL STE C
MOUNT VERNON
IL
628646548
Practice Location Phone/Fax
| Phone: | 6186036077 |
| Fax: |
Provider Mailing Location
4114 N WATER TOWER PL STE C
MOUNT VERNON
IL
628646548
Provider Mailing Phone/Fax
| Phone: | 6186036077 |
| Fax: |