Booth, Kimberly Kathlene
Booth, Kimberly Kathlene is an individual health care provider with primary practice located at 16102 N Florida Ave , Lutz FL 33549-6129. 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. Booth, Kimberly Kathlene can be contacted via phone (813) 873-1936.Contact Information
Primary practice address
16102 N Florida Ave
Lutz FL 33549-6129
Phone: (813) 873-1936
Fax: (813) 873-8837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA3850 | Florida |
Profile Details
| NPI number | 1932200805 |
|---|---|
| LBN Legal business name | Booth, Kimberly Kathlene |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Sep 3rd, 2022 - about 2 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 | 1932200805 | NPPES |
| Florida | MEDICAID | 883512800 |
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