Provider Demographics
NPI:1417831280
Name:MERTEN, KIMBERLY (PPS)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:MERTEN
Suffix:
Gender:F
Credentials:PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 N CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-2978
Mailing Address - Country:US
Mailing Address - Phone:559-786-7316
Mailing Address - Fax:
Practice Address - Street 1:980 N LASPINA ST
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-2338
Practice Address - Country:US
Practice Address - Phone:559-685-7316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool