Provider Demographics
NPI:1609218445
Name:KAPER, KIM A (LPC)
Entity type:Individual
Prefix:MS
First Name:KIM
Middle Name:A
Last Name:KAPER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:KIM
Other - Middle Name:
Other - Last Name:BOARDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PPC
Mailing Address - Street 1:623 N COMMERCIAL DR
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82716-2555
Mailing Address - Country:US
Mailing Address - Phone:307-363-5930
Mailing Address - Fax:888-720-0569
Practice Address - Street 1:623 N COMMERCIAL DR
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82716-2555
Practice Address - Country:US
Practice Address - Phone:307-363-5930
Practice Address - Fax:888-720-0569
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-22
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLPC-1750101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional