| Doctor Name: | MS. KIMBERLEY KAY HIGGINS |
| NPI Number: | 1003054784 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | 149.013116 |
| Business Practice Address: | 705 E Lincoln St Box 12 Normal, IL - 617616406 |
| Business Phone Number: | 3092121939 |
| Business Fax Number: | |
| Mailing Address: | 705 E Lincoln St, Box 12 NORMAL |
| State: | IL |
| Postal Code: | 617616406 |
| Phone Number: | 3092121939 |
| Fax Number: | |
| NPI Enumeration Date: | 02/03/2009 |
| NPI Last Update Date: | 01/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 149.013116 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |