Brunette, Kim Ellen
Brunette, Kim Ellen is an individual health care provider with primary practice located at 13720 Calistoga Dr , Oklahoma City OK 73170-5113. 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. Brunette, Kim Ellen can be contacted via phone (405) 552-2799.Contact Information
Primary practice address
13720 Calistoga Dr
Oklahoma City OK 73170-5113
Phone: (405) 552-2799
Fax: (405) 553-5668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 418 | Oklahoma |
Profile Details
| NPI number | 1891785747 |
|---|---|
| LBN Legal business name | Brunette, Kim Ellen |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Feb 5th, 2009 - about 15 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 | 1891785747 | NPPES |
| Oklahoma | MEDICAID | 100670690A | |
| Oklahoma | Other | 736017987116 |
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