Cooper, Kimberly Page
Cooper, Kimberly Page is an individual health care provider with primary practice located at 1007 Ga Highway 56 S Ste A , Swainsboro GA 30401-5328. 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. Cooper, Kimberly Page can be contacted via phone (478) 237-6363.Contact Information
Primary practice address
1007 Ga Highway 56 S Ste A
Swainsboro GA 30401-5328
Phone: (478) 237-6363
Fax: (478) 237-6364
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP007349 | Georgia |
Profile Details
| NPI number | 1104137413 |
|---|---|
| LBN Legal business name | Cooper, Kimberly Page |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2010 |
| Last updated | Sep 6th, 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 | 1104137413 | NPPES |
| Georgia | MEDICAID | 277041361B | |
| Georgia | Other | SLP007349 |
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