Adonna, Kimberlee
Adonna, Kimberlee is an individual health care provider with primary practice located at 1809 Silver Ave Se Apt 1, Albuquerque NM 87106-5408. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Adonna, Kimberlee can be contacted via phone (505) 504-1479.Contact Information
Primary practice address
1809 Silver Ave Se Apt 1
Albuquerque NM 87106-5408
Phone: (505) 504-1479
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 4319 | New Mexico |
Profile Details
| NPI number | 1114175155 |
|---|---|
| LBN Legal business name | Adonna, Kimberlee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2008 |
| Last updated | Sep 6th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114175155 | NPPES |
| New Mexico | MEDICAID | 19036752 |
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