| Doctor Name: | MRS. KIMBERLY D DESOTO |
| NPI Number: | 1114291499 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LPC, LMHC |
| License Number: | MH 12221 |
| Business Practice Address: | 5453 Doolittle Ave Tinker Afb, OK - 731454670 |
| Business Phone Number: | 3043802178 |
| Business Fax Number: | |
| Mailing Address: | 5453 Doolittle Ave, TINKER AFB |
| State: | OK |
| Postal Code: | 731454670 |
| Phone Number: | 3043802178 |
| Fax Number: | |
| NPI Enumeration Date: | 03/03/2012 |
| NPI Last Update Date: | 03/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | MH 12221 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |